Organization · Type 2 NPI
Our Space Clubhouse
Clinical Social Worker · Cuthbert, GA
Practice location
644 Blakely St
Cuthbert, GA 39840-5325
Fax (229) 732-5058
Mailing address
2100 Comer Ave
Columbus, GA 31904-8725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
About NPI 1225368640
Our Space Clubhouse's National Provider Identifier is 1225368640, issued on Jan 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cuthbert, GA. The record was last updated on Jan 7, 2010.