Individual provider · Type 1 NPI
Stacey Sudie Ezekwe, LSCSW
Clinical Social Worker · Apo, BE
Practice location
Shape Healthcare Facility, Unit 21414 Box 116
Apo, BE 09705
Fax
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1787 (KS) |
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…
Another provider at this address
About NPI 1235235151
Stacey Sudie Ezekwe, LSCSW's National Provider Identifier is 1235235151, issued on Sep 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Apo, BE. The record was last updated on Jul 8, 2007.