Individual provider · Type 1 NPI

Stephanie Purdom, LCSW

Clinical Social Worker · Gahanna, OH

NPI number 1639626914 Active

Practice location

4625 Morse Rd Ste 200
Gahanna, OH 43230-8355

Call (614) 383-8381 Map

Fax (855) 259-2615

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149018746 (IL)
Clinical Social Worker Primary 1041C0700XI.1901523 (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 1639626914

Stephanie Purdom, LCSW's National Provider Identifier is 1639626914, issued on Sep 5, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gahanna, OH. The record was last updated on Jun 18, 2019.