Individual provider · Type 1 NPI
Tara Bodlak
Clinical Social Worker · Phoenix, AZ
Practice location
1022 S 51st St Ste 200
Phoenix, AZ 85004-2133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 20933 (AZ) |
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 1255945408
Tara Bodlak's National Provider Identifier is 1255945408, issued on Sep 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 27, 2023.