Individual provider · Type 1 NPI

Jamie Declercq, LISW-SUPV

Clinical Social Worker · Lima, OH

NPI number 1366734279 Active

Practice location

924 N Cable Rd
Lima, OH 45805-1704

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3583

Other practice locations

  • 399 E Main St, Columbus, OH 43215-5384 · (614) 355-8550
  • 2535 Fort Amanda Rd, Lima, OH 45804 · (419) 999-2055

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI0031486-SUPV (OH)

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…

19 other providers at this address

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About NPI 1366734279

Jamie Declercq, LISW-SUPV's National Provider Identifier is 1366734279, issued on May 11, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lima, OH. The record was last updated on Mar 17, 2024.