Individual provider · Type 1 NPI

Gia Koumantzelis, LICSW

Clinical Social Worker · Bethlehem, NH

NPI number 1366927410 Active

Practice location

240 Valley View Lane
Bethlehem, NH 03574

Mailing address

PO Box 118
Bethlehem, NH 03574-0118

Specialties and licenses

TaxonomyCodeLicense
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…

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About NPI 1366927410

Gia Koumantzelis, LICSW's National Provider Identifier is 1366927410, issued on Sep 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bethlehem, NH. The record was last updated on Sep 25, 2018.