Individual provider · Type 1 NPI

Tabitha Yvette Duckworth, LISW-SUPV

Clinical Social Worker · Lake City, FL

NPI number 1386773638 Active

Practice location

619 S Marion Ave, Lake City Va Medical Center
Lake City, FL 32025-5808

Call (386) 755-3016 Map

Mailing address

3661 Thousand Oaks Dr
Orange Park, FL 32065-4245

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS0021568 (OH)
Clinical Social Worker Primary 1041C0700XI0700249 (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…

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About NPI 1386773638

Tabitha Yvette Duckworth, LISW-SUPV's National Provider Identifier is 1386773638, issued on Mar 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake City, FL. The record was last updated on Nov 14, 2008.