Organization · Type 2 NPI

New Life Center LLC

Clinical Social Worker · Ponte Vedra, FL

NPI number 1609746494 Active

Practice location

90 Fort Wade Rd Ste 100-1028
Ponte Vedra, FL 32081-5146

Mailing address

PO Box 2153
Laurinburg, NC 28353-2153

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 1609746494

New Life Center LLC's National Provider Identifier is 1609746494, issued on Nov 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponte Vedra, FL. The record was last updated on Nov 7, 2025.