Individual provider · Type 1 NPI

Marie Holmes Desloge, ACSW

Clinical Social Worker · Columbus, OH

NPI number 1083997589 Active

Practice location

399 E Main St
Columbus, OH 43215-5384

Call (614) 355-8550 Map

Fax (614) 355-8593

Mailing address

Dept 781625
Detroit, MI 48278-1625

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X60021 (CA)
Clinical Social Worker Primary 1041C0700XI.1700033 (OH)

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 1083997589

Marie Holmes Desloge, ACSW's National Provider Identifier is 1083997589, issued on Sep 21, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jul 21, 2017.