Organization · Type 2 NPI
Inner Spark Therapy LLC
Clinical Social Worker · Coos Bay, OR
Practice location
134 S Wasson St
Coos Bay, OR 97420-3235
Mailing address
1995 Newmark Ave # 1012
Coos Bay, OR 97420-4727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1295519312
Inner Spark Therapy LLC's National Provider Identifier is 1295519312, issued on Aug 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coos Bay, OR. The record was last updated on Aug 21, 2023.