Organization · Type 2 NPI

Brandon Psychiatry and Counseling

Clinical Social Worker · Brandon, FL

NPI number 1174886600 Active

Practice location

401 N Parsons Ave, Suite 107 A
Brandon, FL 33510-4538

Fax (813) 681-5958

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW5979 (FL)
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XBK4208016 (FL)
Child & Adolescent Psychiatry Physician 2084P0804X47310 (FL)

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 1174886600

Brandon Psychiatry and Counseling's National Provider Identifier is 1174886600, issued on Jun 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brandon, FL. The record was last updated on Jun 22, 2012.