Organization · Type 2 NPI

Tracy Tullos Southern Therapy Specialists

Clinical Social Worker · Russellville, AR

NPI number 1114394285 Active

Practice location

701 E Main St, Suite 2
Russellville, AR 72801-5247

Mailing address

PO Box 9178
Russellville, AR 72811-9178

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1114394285

Tracy Tullos Southern Therapy Specialists's National Provider Identifier is 1114394285, issued on Aug 25, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Russellville, AR. The record was last updated on Oct 28, 2015.