Individual provider · Type 1 NPI

Angel Bousman

Clinical Social Worker · Rocky Mount, VA

NPI number 1548715097 Active

Practice location

30 Technology Dr
Rocky Mount, VA 24151-3008

Call (540) 483-5044 Map

Fax (276) 632-0995

Mailing address

24 Clay St
Martinsville, VA 24112-2810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904009606 (VA)

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 1548715097

Angel Bousman's National Provider Identifier is 1548715097, issued on Aug 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rocky Mount, VA. The record was last updated on Aug 24, 2016.