Organization · Type 2 NPI

Legacy's Impact Intervention L.l.c

Clinical Social Worker · Bartlesville, OK

NPI number 1336770627 Active

Practice location

3606 Idaho Ave
Bartlesville, OK 74006-2420

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone 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 1336770627

Legacy's Impact Intervention L.l.c's National Provider Identifier is 1336770627, issued on Jan 27, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bartlesville, OK. The record was last updated on Jan 27, 2020.