Individual provider · Type 1 NPI

Heather Danielle Bautista

Clinical Social Worker · Tyndall Afb, FL

NPI number 1497951917 Active

Practice location

340 Magnolia Cir
Tyndall Afb, FL 32403-5604

Mailing address

9902 S Thomas Dr, Unit 1333
Panama City Beach, FL 32408-1201

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1255 (CO)

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 1497951917

Heather Danielle Bautista's National Provider Identifier is 1497951917, issued on Jun 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tyndall Afb, FL. The record was last updated on Apr 30, 2013.