Organization · Type 2 NPI

Full Life Outreach Medical Center LLC

Clinical Social Worker · Dallas, TX

NPI number 1265665384 Active

Practice location

4545 S Buckner Blvd
Dallas, TX 75227-4207

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	801062647 (TX)

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 1265665384

Full Life Outreach Medical Center LLC's National Provider Identifier is 1265665384, issued on Aug 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on Dec 15, 2025.