Individual provider · Type 1 NPI

Tara Lynn Dively, M.A., LMFT

Clinical Social Worker · Selinsgrove, PA

NPI number 1386019990 Active

Practice location

29 N Market St
Selinsgrove, PA 17870-1924

Fax (717) 221-8006

Mailing address

2019 N 2nd St
Harrisburg, PA 17102-2147

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XMF000585 (PA)

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 1386019990

Tara Lynn Dively, M.A., LMFT's National Provider Identifier is 1386019990, issued on Dec 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Selinsgrove, PA. The record was last updated on Dec 8, 2015.