Individual provider · Type 1 NPI

Melissa Jill Brock, LCSW

Clinical Social Worker · Johnson City, TN

NPI number 1508950858 Active

Practice location

926 W Oakland Ave, Suite 226
Johnson City, TN 37604-1445

Fax (423) 926-8840

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW3939 (TN)

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 1508950858

Melissa Jill Brock, LCSW's National Provider Identifier is 1508950858, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, TN. The record was last updated on Apr 26, 2010.