Individual provider · Type 1 NPI

Courtni Brooke Sandras-Gaut, LCSW

Clinical Social Worker · Roanoke, VA

NPI number 1639695380 Active

Practice location

402 Campbell Ave SW
Roanoke, VA 24016-3627

Call (540) 400-7431 Map

Fax (540) 400-7091

Mailing address

PO Box 541
Roanoke, VA 24003-0541

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904010061 (VA)

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 1639695380

Courtni Brooke Sandras-Gaut, LCSW's National Provider Identifier is 1639695380, issued on Aug 15, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roanoke, VA. The record was last updated on Aug 15, 2017.