Individual provider · Type 1 NPI

Shannon Bruckner, LCSW, CAADC

Clinical Social Worker · Athens, GA

NPI number 1497243836 Active

Practice location

119 Sycamore Dr
Athens, GA 30606-3462

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	C0263 (GA)
Clinical Social Worker Primary	1041C0700X	CSW006270 (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 1497243836

Shannon Bruckner, LCSW, CAADC's National Provider Identifier is 1497243836, issued on May 1, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Athens, GA. The record was last updated on Sep 19, 2022.