Individual provider · Type 1 NPI

Katherine S. Wilborn, PhD, LCSW, BCD

Clinical Social Worker · Melbourne Beach, FL

NPI number 1619904976 Active

Practice location

1010 Atlantic St, Suite A
Melbourne Beach, FL 32951-2364

Fax (321) 728-7011

Mailing address

502 2nd Ave
Melbourne Beach, FL 32951-2512

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 2128 (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 1619904976

Katherine S. Wilborn, PhD, LCSW, BCD's National Provider Identifier is 1619904976, issued on Jun 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Melbourne Beach, FL. The record was last updated on Mar 15, 2013.