Organization · Type 2 NPI

Im Legacy Counseling & Consultation Services, LLC

Clinical Social Worker · Atlanta, GA

NPI number 1609519701 Active

Practice location

3562 Piedmont Rd NE Apt 305
Atlanta, GA 30305-7003

Mailing address

3737 Easton Market Unit 1201
Columbus, OH 43219-6023

Other practice locations

  • 6220 Harmon Glen Ln, Canal Winchester, OH 43110-8086 · (614) 206-4452

Specialties and licenses

TaxonomyCodeLicense
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 1609519701

Im Legacy Counseling & Consultation Services, LLC's National Provider Identifier is 1609519701, issued on Apr 16, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Atlanta, GA. The record was last updated on Apr 16, 2022.