Individual provider · Type 1 NPI

Rena M. Glass-Dixon, PhD, LCSW

Clinical Social Worker · Conyers, GA

NPI number 1104301670 Active

Practice location

990 Iris Dr SW Ste 103
Conyers, GA 30094-6602

Call (770) 369-9984 Map

Fax (770) 369-9984

Mailing address

PO Box 82653
Conyers, GA 30013-9439

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004345 (GA)

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 1104301670

Rena M. Glass-Dixon, PhD, LCSW's National Provider Identifier is 1104301670, issued on Sep 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Conyers, GA. The record was last updated on Jan 30, 2020.