Organization · Type 2 NPI

Providence Psychological Services Inc

Clinical Social Worker · Suffolk, VA

NPI number 1487090429 Active

Practice location

129 N Saratoga St, Ste 1
Suffolk, VA 23434-5255

Fax (757) 539-5399

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	09040007534 (VA)

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 1487090429

Providence Psychological Services Inc's National Provider Identifier is 1487090429, issued on May 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Suffolk, VA. The record was last updated on May 17, 2013.