Organization · Type 2 NPI

Revitalizing Lives LLC

Clinical Social Worker · Wichita, KS

NPI number 1447939723 Active

Practice location

2801 W 13th St N
Wichita, KS 67203-1820

Fax (316) 339-0687

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone 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 1447939723

Revitalizing Lives LLC's National Provider Identifier is 1447939723, issued on Jul 14, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wichita, KS. The record was last updated on Jul 14, 2023.