Individual provider · Type 1 NPI

Mitzi Moody, MSW

Clinical Social Worker · Columbus, OH

NPI number 1205020153 Active

Practice location

399 E Main St
Columbus, OH 43215-5384

Call (614) 355-8550 Map

Fax (614) 355-8593

Mailing address

PO Box 715194
Columbus, OH 43271-5194

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XI1000017 (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 1205020153

Mitzi Moody, MSW's National Provider Identifier is 1205020153, issued on Sep 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on May 24, 2011.