Individual provider · Type 1 NPI

Thecle Ebanks

Clinical Social Worker · Fort Eustis, VA

NPI number 1225755093 Active

Practice location

576 Jefferson Ave
Fort Eustis, VA 23604-1373

Call (757) 314-7500 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X8308 (TN)
Clinical Social Worker Primary 1041C0700X0904014407 (VA)

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 1225755093

Thecle Ebanks's National Provider Identifier is 1225755093, issued on Oct 24, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Eustis, VA. The record was last updated on Aug 17, 2024.