Individual provider · Type 1 NPI

James Tickal, LCSW

Clinical Social Worker · Maitland, FL

NPI number 1093301608 Active

Practice location

1555 N Maitland Ave
Maitland, FL 32751-3325

Mailing address

2328 Foliage Oak Ter
Oviedo, FL 32766-7021

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW17870 (FL)

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 1093301608

James Tickal, LCSW's National Provider Identifier is 1093301608, issued on Dec 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maitland, FL. The record was last updated on Jan 18, 2021.