Individual provider · Type 1 NPI

Regina Katherine Wisenbaker, LCSW

Clinical Social Worker · Valdosta, GA

NPI number 1144654674 Active

Practice location

2704 N Oak St Bldg J
Valdosta, GA 31602-1768

Call (229) 262-7333 Map

Fax (229) 262-7335

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW005046 (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 1144654674

Regina Katherine Wisenbaker, LCSW's National Provider Identifier is 1144654674, issued on Sep 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valdosta, GA. The record was last updated on Mar 15, 2023.