Organization · Type 2 NPI

Jeremiah Foundation Inc

Clinical Social Worker · North Chesterfield, VA

NPI number 1194030874 Active

Practice location

9513 Hull Street Rd Ste A
North Chesterfield, VA 23236-1495

Call (804) 608-9389 Map

Fax (804) 763-3453

Mailing address

PO Box 4504
Midlothian, VA 23112-0010

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	0904004489 (VA)
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	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…

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About NPI 1194030874

Jeremiah Foundation Inc's National Provider Identifier is 1194030874, issued on Aug 18, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Chesterfield, VA. The record was last updated on Jan 5, 2023.