Individual provider · Type 1 NPI

Varghese Kodiyan, LCSW, PA

Clinical Social Worker · Plant City, FL

NPI number 1326084435 Active

Practice location

1601 W Reynolds St
Plant City, FL 33563-4748

Fax (813) 964-0453

Mailing address

602 Shellcracker Ct
Tampa, FL 33613-1214

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW4420 (FL)

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 1326084435

Varghese Kodiyan, LCSW, PA's National Provider Identifier is 1326084435, issued on Jun 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plant City, FL. The record was last updated on Jul 8, 2007.