Individual provider · Type 1 NPI

Mario Bolivar Jr., LCSW

Clinical Social Worker · Dallas, GA

NPI number 1639304934 Active

Practice location

112 Creekside Dr
Dallas, GA 30157-7370

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X1214 (OR)
Clinical Social Worker Primary 1041C0700X3071 (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 1639304934

Mario Bolivar Jr., LCSW's National Provider Identifier is 1639304934, issued on May 15, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, GA. The record was last updated on May 15, 2009.