Individual provider · Type 1 NPI

Jane Back, LMCSW

Clinical Social Worker · Bryn Mawr, PA

NPI number 1265981963 Active

Practice location

850 W Lancaster Ave, 2nd Floord
Bryn Mawr, PA 19010-3220

Fax (610) 520-1517

Mailing address

106 Kingfield Rd
Philadelphia, PA 19115-4011

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW019049 (PA)

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 1265981963

Jane Back, LMCSW's National Provider Identifier is 1265981963, issued on Sep 23, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bryn Mawr, PA. The record was last updated on Sep 23, 2016.