Individual provider · Type 1 NPI

Jim Branch, PhD

Clinical Social Worker · Port Orange, FL

NPI number 1629127345 Active

Practice location

4319 S Ridgewood Ave
Port Orange, FL 32127-4522

Fax (386) 756-7518

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW0607 (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 1629127345

Jim Branch, PhD's National Provider Identifier is 1629127345, issued on Jan 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Orange, FL. The record was last updated on Jul 8, 2007.