Individual provider · Type 1 NPI

Charles Raymond De Rivera, LCSW, ABD

Clinical Social Worker · Fort Hood, TX

NPI number 1578603882 Active

Practice location

36000 Darnall Loop
Fort Hood, TX 76544-5095

Call (254) 288-5602 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS11224 (TX)

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 1578603882

Charles Raymond De Rivera, LCSW, ABD's National Provider Identifier is 1578603882, issued on Feb 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Hood, TX. The record was last updated on Jul 8, 2007.