Individual provider · Type 1 NPI

Te'quilla Bru'shay Woodson, L.M.S.W

Clinical Social Worker · Augusta, GA

NPI number 1356713580 Active

Practice location

1 Freedom Way
Augusta, GA 30904-6258

Mailing address

2909 Shadowridge Dr Apt 4
Augusta, GA 30909-2042

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMSW006170 (GA)
Clinical Social Worker 1041C0700X10793 (SC)

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 1356713580

Te'quilla Bru'shay Woodson, L.M.S.W's National Provider Identifier is 1356713580, issued on Oct 27, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, GA. The record was last updated on Oct 27, 2015.