Individual provider · Type 1 NPI

Teisha Nicole Pack, LCSW

Clinical Social Worker · Orlando, FL

NPI number 1215539333 Active

Practice location

6225 Bent Pine Dr Apt 420A
Orlando, FL 32822-4934

Fax (407) 542-6204

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW17489 (FL)
Clinical Social Worker Primary 1041C0700XC017049 (NC)

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 1215539333

Teisha Nicole Pack, LCSW's National Provider Identifier is 1215539333, issued on Nov 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orlando, FL. The record was last updated on Jan 30, 2025.