Organization · Type 2 NPI

Catalyst Center for Change LLC

Clinical Social Worker · Tampa, FL

NPI number 1508311994 Active

Practice location

4100 W Kennedy Blvd, Suite 210
Tampa, FL 33609-2288

Fax (813) 336-5226

Mailing address

4100 W. Kennedy Blvd., Suite 210
Tampa, FL 33609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XIMH14171 (FL)
Clinical Social Worker Primary 1041C0700XSW9992 (FL)

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 1508311994

Catalyst Center for Change LLC's National Provider Identifier is 1508311994, issued on Aug 16, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Aug 16, 2016.