Organization · Type 2 NPI

The Wellness Collective Boutique

Clinical Social Worker · St. Petersburg, FL

NPI number 1174400543 Active

Practice location

7901 4th St N Ste 300
St. Petersburg, FL 33702-4399

Mailing address

5707 Creek Dale Dr
Orlando, FL 32810-3981

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 1174400543

The Wellness Collective Boutique's National Provider Identifier is 1174400543, issued on Aug 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 18, 2025.