Individual provider · Type 1 NPI

Mary Louise Gambill, CLINICAL INTERN

Clinical Social Worker · Dayton, OH

NPI number 1104060243 Active

Practice location

301 E 6th St
Dayton, OH 45402-2838

Fax (937) 223-3484

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.0600943TRNE (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 1104060243

Mary Louise Gambill, CLINICAL INTERN's National Provider Identifier is 1104060243, issued on Apr 20, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dayton, OH. The record was last updated on Apr 20, 2009.