Individual provider · Type 1 NPI

Robert Willis

Clinical Social Worker · Philadelphia, PA

NPI number 1407250665 Active

Practice location

4510 Frankford Ave
Philadelphia, PA 19124-3602

Call (215) 744-1302 Map

Fax (215) 744-2544

Mailing address

1401 S 31st St, 2nd Floor
Philadelphia, PA 19146-3506

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW014164 (PA)

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 1407250665

Robert Willis's National Provider Identifier is 1407250665, issued on Oct 17, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 12, 2017.