Individual provider · Type 1 NPI

Mary H. Tevebaugh, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1639397474 Active

Practice location

3950 Kresge Way
Louisville, KY 40207-4637

Call (502) 896-7132 Map

Mailing address

1822 Knollwood Rd
Louisville, KY 40207-1767

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-1408 (KY)

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 1639397474

Mary H. Tevebaugh, LCSW's National Provider Identifier is 1639397474, issued on Apr 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.