Individual provider · Type 1 NPI

Richard Justin Antall, LISW-S

Clinical Social Worker · Pepper Pike, OH

NPI number 1578873113 Active

Practice location

3737 Lander Road
Pepper Pike, OH 44124-5712

Fax (216) 378-3906

Mailing address

384 Saddler Rd
Bay Village, OH 44140-1118

Other practice locations

  • 384 Saddler Rd, Bay Village, OH 44140-1118 · (440) 567-3063

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.0801090 (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…

10 other providers at this address

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About NPI 1578873113

Richard Justin Antall, LISW-S's National Provider Identifier is 1578873113, issued on Oct 18, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pepper Pike, OH. The record was last updated on Dec 16, 2018.