Individual provider · Type 1 NPI
Wendy J. Shade, LCDCIII, ICADC
Clinical Social Worker · Kettering, OH
Practice location
3017 Glenmere Ct
Kettering, OH 45440-1312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 21307 (OH) |
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 1619995511
Wendy J. Shade, LCDCIII, ICADC's National Provider Identifier is 1619995511, issued on Jul 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kettering, OH. The record was last updated on Jun 15, 2009.