Organization · Type 2 NPI

Kboggspc

Clinical Social Worker · Lawrenceville, GA

NPI number 1386085280 Active

Practice location

5435 Sugarloaf Pkwy, Suite 1104
Lawrenceville, GA 30043

Mailing address

4602 Sequoia Cir
Oakwood, GA 30566-2129

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW001288 (GA)

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 1386085280

Kboggspc's National Provider Identifier is 1386085280, issued on Jul 9, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 9, 2013.