Individual provider · Type 1 NPI

Gary L. Drake

Clinical Social Worker · Campton, KY

NPI number 1073506556 Active

Practice location

239 Mt Parkway Spur
Campton, KY 41301-0309

Fax (606) 668-3125

Mailing address

3209 Solutions Ctr
Chicago, IL 60677-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XKY1429 (KY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073506556

Gary L. Drake's National Provider Identifier is 1073506556, issued on Aug 30, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Campton, KY. The record was last updated on Jul 8, 2007.