Organization · Type 2 NPI

Family Therapy Center of Madison, Inc.

Clinical Social Worker · Madison, WI

NPI number 1164587150 Active

Practice location

700 Ray O Vac Dr, Suite 220
Madison, WI 53711-2479

Fax (608) 276-9144

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None 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 1164587150

Family Therapy Center of Madison, Inc.'s National Provider Identifier is 1164587150, issued on Dec 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Oct 25, 2013.