Organization · Type 2 NPI
Branches of Life, Inc.
Clinical Social Worker · Memphis, TN
Practice location
1203 Poplar Ave Ste 5
Memphis, TN 38104-7278
Fax (901) 728-6011
Mailing address
PO Box 40632
Memphis, TN 38174-0632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | AC23491 (TN) |
| Counselor | 101Y00000X | F16765 (TN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 308 (OK) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BC23491 (TN) |
| Mental Health Counselor | 101YM0800X | LPC908 (TN) |
| Clinical Social Worker | 1041C0700X | CSW (TN) |
| Clinical Social Worker | 1041C0700X | F20063 (TN) |
| Clinical Social Worker | 1041C0700X | LSW3185 (TN) |
| Clinical Social Worker Primary | 1041C0700X | LSW3165 (TN) |
| Clinical Social Worker | 1041C0700X | LSW1502 (AR) |
| Marriage & Family Therapist | 106H00000X | LPC908 (TN) |
| Ph.D. Medical Genetics | 170100000X | MD010748 (TN) |
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 1609959212
Branches of Life, Inc.'s National Provider Identifier is 1609959212, issued on Oct 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Memphis, TN. The record was last updated on Jun 22, 2010.