Organization · Type 2 NPI

Main Street Counseling Center, LLC

Clinical Social Worker · Grapevine, TX

NPI number 1609193002 Active

Practice location

621 N Main St, Suite 200
Grapevine, TX 76051-9213

Fax (817) 421-1950

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	16044 (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 1609193002

Main Street Counseling Center, LLC's National Provider Identifier is 1609193002, issued on Apr 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grapevine, TX. The record was last updated on Apr 23, 2010.