Individual provider · Type 1 NPI

Jason Indenbaum

Clinical Social Worker · Charlotte, NC

NPI number 1508160888 Active

Practice location

6220 Thermal Rd
Charlotte, NC 28211-5630

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1508160888

Jason Indenbaum's National Provider Identifier is 1508160888, issued on Dec 31, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jun 22, 2017.