Organization · Type 2 NPI

Mayne Stream Counseling, LLC

Clinical Social Worker · Girdler, KY

NPI number 1306778451 Active

Practice location

5483 N Ky 11
Girdler, KY 40943-6447

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor 101YP2500XNone listed
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…

About NPI 1306778451

Mayne Stream Counseling, LLC's National Provider Identifier is 1306778451, issued on Jun 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Girdler, KY. The record was last updated on Oct 30, 2026.