Individual provider · Type 1 NPI

Rena Ami Tisdale-Davis, LICSW

Clinical Social Worker · Bowie, MD

NPI number 1497211833 Active

Practice location

14909 Health Center Dr Apt 426
Bowie, MD 20716-1093

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC50081649 (DC)

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 1497211833

Rena Ami Tisdale-Davis, LICSW's National Provider Identifier is 1497211833, issued on Feb 11, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bowie, MD. The record was last updated on Feb 11, 2019.