Individual provider · Type 1 NPI

Larry Ronald Kellogg, MSW, LCSW

Clinical Social Worker · Fort Stewart, GA

NPI number 1619203676 Active

Practice location

1061 Harmon Avenue
Fort Stewart, GA 31314-5674

Call (912) 315-6500 Map

Mailing address

19 E 64th St
Savannah, GA 31405-5201

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X000738 (GA)

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 1619203676

Larry Ronald Kellogg, MSW, LCSW's National Provider Identifier is 1619203676, issued on Oct 27, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Stewart, GA. The record was last updated on Oct 27, 2009.