Organization · Type 2 NPI

Mind Body & Soul Life Coach Case Management & Behavioral Health Services

Clinical Social Worker · Elizabethtown, KY

NPI number 1508676263 Active

Practice location

551 Westport Rd Ste D
Elizabethtown, KY 42701-2950

Call (502) 293-8926 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1508676263

Mind Body & Soul Life Coach Case Management & Behavioral Health Services's National Provider Identifier is 1508676263, issued on Jan 13, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabethtown, KY. The record was last updated on Jul 7, 2026.