Individual provider · Type 1 NPI
Chuck Ivy, LCSW
Clinical Social Worker · Roswell, NM
Practice location
1407 Highland Rd
Roswell, NM 88201-2146
Fax (575) 208-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C-10013 (NM) |
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 1134447386
Chuck Ivy, LCSW's National Provider Identifier is 1134447386, issued on May 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roswell, NM. The record was last updated on Mar 5, 2021.