Individual provider · Type 1 NPI

Theresa Elizabeth Samuels, LCSW

Clinical Social Worker · Lawrenceville, GA

NPI number 1497055917 Active

Practice location

175 Gwinnett Dr, Grn Community Service Board
Lawrenceville, GA 30046-8444

Call (770) 339-5000 Map

Mailing address

617 Stonecrest Dr
Loganville, GA 30052-8887

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004233 (GA)

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 1497055917

Theresa Elizabeth Samuels, LCSW's National Provider Identifier is 1497055917, issued on Nov 1, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 1, 2010.