Individual provider · Type 1 NPI

Dani Gjellestad, B.A.

Clinical Social Worker · Tampa, FL

NPI number 1265797104 Active

Practice location

12512 Bruce B Downs Blvd
Tampa, FL 33612-9209

Fax (813) 972-3886

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 1265797104

Dani Gjellestad, B.A.'s National Provider Identifier is 1265797104, issued on Jul 6, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Jul 6, 2012.