Individual provider · Type 1 NPI

Eileen Gustafson, LCSW

Clinical Social Worker · Tampa, FL

NPI number 1477545846 Active

Practice location

10335 Cross Creek Blvd, Suite 23
Tampa, FL 33647-2795

Fax (352) 597-2074

Mailing address

PO Box 5797
Spring Hill, FL 34611-5797

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6283 (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 1477545846

Eileen Gustafson, LCSW's National Provider Identifier is 1477545846, issued on Aug 22, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Jul 3, 2008.