Organization · Type 2 NPI

Soulful Shore Therapy

Clinical Social Worker · Pensacola, FL

NPI number 1407760069 Active

Practice location

4300 Bayou Blvd Ste 33
Pensacola, FL 32503-2671

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1407760069

Soulful Shore Therapy's National Provider Identifier is 1407760069, issued on Sep 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pensacola, FL. The record was last updated on Sep 30, 2026.