Individual provider · Type 1 NPI

Gladys Ebata, LCSW

Clinical Social Worker · Tomah, WI

NPI number 1447567870 Active

Practice location

27374 State Highway 21
Tomah, WI 54660-4501

Fax (608) 372-0889

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4364 - 123 (WI)

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 1447567870

Gladys Ebata, LCSW's National Provider Identifier is 1447567870, issued on Sep 7, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tomah, WI. The record was last updated on Sep 7, 2010.