Individual provider · Type 1 NPI

Jason M. McCoy, LCSW

Clinical Social Worker · Fort Worth, TX

NPI number 1215164835 Active

Practice location

3629 Western Center Blvd, Ste. 211
Fort Worth, TX 76137-1939

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	007307 (IA)
Clinical Social Worker Primary	1041C0700X	55930 (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 1215164835

Jason M. McCoy, LCSW's National Provider Identifier is 1215164835, issued on Jun 22, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 8, 2011.