Organization · Type 2 NPI

Tidewater Recovery, PLC

Clinical Social Worker · Urbanna, VA

NPI number 1396001855 Active

Practice location

55 Cross Street
Urbanna, VA 23175

Fax (615) 704-7447

Mailing address

PO Box 1042, 55 Cross Street
Urbanna, VA 23175-1042

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005105 (VA)

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…

About NPI 1396001855

Tidewater Recovery, PLC's National Provider Identifier is 1396001855, issued on Apr 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Urbanna, VA. The record was last updated on Apr 9, 2012.