Individual provider · Type 1 NPI

Jordan Koegle, LISW

Clinical Social Worker · Groveport, OH

NPI number 1265077812 Active

Practice location

3964 Hamilton Square Blvd
Groveport, OH 43125-9119

Fax (614) 834-8694

Other practice locations

  • 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 · (614) 362-1686

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.1600951 (OH)
Clinical Social Worker Primary 1041C0700XI2102753 (OH)

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 1265077812

Jordan Koegle, LISW's National Provider Identifier is 1265077812, issued on Nov 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Groveport, OH. The record was last updated on Jun 17, 2021.