Organization · Type 2 NPI
Tidewater Recovery, PLC
Clinical Social Worker · Urbanna, VA
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904005105 (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.