Organization · Type 2 NPI

Intentional Life Therapy

Clinical Social Worker · Bowling Green, OH

NPI number 1265180285 Active

Practice location

10951 E Gypsy Lane Rd
Bowling Green, OH 43402-9565

Mailing address

9895 Huffman Rd
Portage, OH 43451-9739

Other practice locations

  • 200 N Summit St, Bowling Green, OH 43402-2527 · (419) 913-4255

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1265180285

Intentional Life Therapy's National Provider Identifier is 1265180285, issued on Mar 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowling Green, OH. The record was last updated on Apr 25, 2022.