Organization · Type 2 NPI

Elite Life Counseling

Clinical Social Worker · Ponte Vedra Beach, FL

NPI number 1578025490 Active

Practice location

695 A1A N Unit 113
Ponte Vedra Beach, FL 32082-2755

Mailing address

3948 3rd St S Ste 507
Jacksonville Beach, FL 32250-5847

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1578025490

Elite Life Counseling's National Provider Identifier is 1578025490, issued on Apr 1, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Apr 1, 2019.