Individual provider · Type 1 NPI

Jessica Ann Phillips-Donnelly, LISW-S

Clinical Social Worker · Independence, OH

NPI number 1639698368 Active

Practice location

5001 Rockside Road, Crown Center II
Independence, OH 44131

Mailing address

5001 Rockside Rd
Independence, OH 44131-2172

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1502320-SUPV (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 1639698368

Jessica Ann Phillips-Donnelly, LISW-S's National Provider Identifier is 1639698368, issued on Sep 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Independence, OH. The record was last updated on Sep 13, 2017.