Organization · Type 2 NPI

Emotional and Behavioral Therapy

Clinical Social Worker · Kodak, TN

NPI number 1174107965 Active

Practice location

915 Eagle View Dr
Kodak, TN 37764-2418

Fax (561) 634-2874

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…

2 other providers at this address

About NPI 1174107965

Emotional and Behavioral Therapy's National Provider Identifier is 1174107965, issued on May 8, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kodak, TN. The record was last updated on May 8, 2021.