Individual provider · Type 1 NPI

Debora Lynn Gault, LISW

Clinical Social Worker · Berea, OH

NPI number 1528280526 Active

Practice location

285 E Bagley Rd
Berea, OH 44017

Mailing address

285 E. Bagley Rd.
Berea, OH 44028

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 1528280526

Debora Lynn Gault, LISW's National Provider Identifier is 1528280526, issued on May 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berea, OH. The record was last updated on Jul 8, 2007.