Individual provider · Type 1 NPI

Khadija Ali Muntwanamba, LCSW

Clinical Social Worker · Lubbock, TX

NPI number 1194312017 Active

Practice location

5413 Harvard St Apt B
Lubbock, TX 79416-3471

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XM-11188 (NM)
Clinical Social Worker Primary 1041C0700X58346 (TX)

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 1194312017

Khadija Ali Muntwanamba, LCSW's National Provider Identifier is 1194312017, issued on Dec 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lubbock, TX. The record was last updated on Dec 26, 2020.