Individual provider · Type 1 NPI

Keith Alan Bauer, PhD, LCSW

Clinical Social Worker · Pulaski, VA

NPI number 1497214803 Active

Practice location

327 N Washington Ave
Pulaski, VA 24301-5009

Fax (540) 994-5028

Mailing address

700 University City Blvd
Blacksburg, VA 24060-2706

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010982 (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 1497214803

Keith Alan Bauer, PhD, LCSW's National Provider Identifier is 1497214803, issued on Mar 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pulaski, VA. The record was last updated on Mar 15, 2019.