Individual provider · Type 1 NPI
Rose Ann Lickenbrock, LCSW
Clinical Social Worker · Ponte Vedra Beach, FL
Practice location
116 Old Mill Ct
Ponte Vedra Beach, FL 32082-4133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW6040 (FL) |
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 1619624012
Rose Ann Lickenbrock, LCSW's National Provider Identifier is 1619624012, issued on Mar 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Mar 5, 2022.