Organization · Type 2 NPI
Icebreaker Therapy PLLC
Clinical Social Worker · Montgomery, TX
Practice location
407 Auburn Pines Dr
Montgomery, TX 77316-1955
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 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…
Another provider at this address
Other clinical social worker providers in Montgomery
About NPI 1174445506
Icebreaker Therapy PLLC's National Provider Identifier is 1174445506, issued on Jul 28, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montgomery, TX. The record was last updated on Jul 28, 2026.