Organization · Type 2 NPI

Kathleen Gorman-Ezell, Ph.d, Lisw, LLC

Clinical Social Worker · Powell, OH

NPI number 1194007880 Active

Practice location

499 Village Park Dr
Powell, OH 43065-6605

Call (614) 745-9484 Map

Mailing address

3323 Windy Forest Ln
Powell, OH 43065-7381

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.0700024-SUPV (OH)

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 1194007880

Kathleen Gorman-Ezell, Ph.d, Lisw, LLC's National Provider Identifier is 1194007880, issued on Sep 19, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Powell, OH. The record was last updated on Sep 19, 2011.