Individual provider · Type 1 NPI

Ivette Lopez Bledsoe, LCSW

Clinical Social Worker · Watkinsville, GA

NPI number 1215033212 Active

Practice location

1360 Caduceus Way Bldg 400, Suite 102
Watkinsville, GA 30677-7300

Call (706) 286-8442 Map

Mailing address

1341 Arizona Bnd
Watkinsville, GA 30677-7774

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X627 (CO)
Clinical Social Worker Primary 1041C0700XCSW005801 (GA)

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 1215033212

Ivette Lopez Bledsoe, LCSW's National Provider Identifier is 1215033212, issued on Sep 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Watkinsville, GA. The record was last updated on Sep 2, 2016.