Organization · Type 2 NPI

Revive & Thrive Therapy LLC

Clinical Social Worker · Roselle Park, NJ

NPI number 1205217809 Active

Practice location

173 E Grant Ave
Roselle Park, NJ 07204-2026

Fax (908) 344-5537

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05485900 (NJ)

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 1205217809

Revive & Thrive Therapy LLC's National Provider Identifier is 1205217809, issued on Jun 9, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roselle Park, NJ. The record was last updated on Jun 16, 2015.