Individual provider · Type 1 NPI
Shannon Tantillo, LCSW-S, LCDC
Clinical Social Worker · Houston, TX
Practice location
3313 Damico St
Houston, TX 77019-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 36057 (TX) |
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…
4 other providers at this address
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About NPI 1508370222
Shannon Tantillo, LCSW-S, LCDC's National Provider Identifier is 1508370222, issued on Nov 17, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Houston, TX. The record was last updated on Nov 17, 2017.