Individual provider · Type 1 NPI

Alexis Anna-May Koutroulakis, L.C.S.W.

Clinical Social Worker · Philadelphia, PA

NPI number 1205167772 Active

Practice location

247 N 2nd St, 1L
Philadelphia, PA 19106-1300

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW016332 (PA)

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 1205167772

Alexis Anna-May Koutroulakis, L.C.S.W.'s National Provider Identifier is 1205167772, issued on Jan 24, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 24, 2010.