Organization · Type 2 NPI

The Body Image Counseling Center

Clinical Social Worker · Jacksonville, FL

NPI number 1396257630 Active

Practice location

1545 Landon Ave
Jacksonville, FL 32207-8671

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	SW5916 (FL)
Registered Dietitian	133V00000X	ND4743 (FL)

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 1396257630

The Body Image Counseling Center's National Provider Identifier is 1396257630, issued on Oct 26, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 26, 2017.