Organization · Type 2 NPI

Black Therapy Collective LLC

Clinical Social Worker · Augusta, GA

NPI number 1639028558 Active

Practice location

2101 Bonnie Pl
Augusta, GA 30906-5021

Mailing address

246 Robert C Daniel Jr Pkwy # 1127
Augusta, GA 30909-0803

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1639028558

Black Therapy Collective LLC's National Provider Identifier is 1639028558, issued on Jan 23, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, GA. The record was last updated on Jan 23, 2026.