Individual provider · Type 1 NPI

Kathleen E. Gorman-Ezell, L.I.S.W.

Clinical Social Worker · Maumee, OH

NPI number 1528283603 Active

Practice location

1645 Indian Wood Cir, Suite 202
Maumee, OH 43537-4400

Fax (419) 794-0569

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI 0700024 (OH)

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 1528283603

Kathleen E. Gorman-Ezell, L.I.S.W.'s National Provider Identifier is 1528283603, issued on Apr 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maumee, OH. The record was last updated on Mar 12, 2008.