Individual provider · Type 1 NPI

Kaitlin Marie Koogle, LSW

Clinical Social Worker · Springboro, OH

NPI number 1649798695 Active

Practice location

50 Greenwood Ln
Springboro, OH 45066

Fax (937) 746-8523

Mailing address

204 Cook Rd Ste 400
Lebanon, OH 45036-9600

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.1802125 (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 1649798695

Kaitlin Marie Koogle, LSW's National Provider Identifier is 1649798695, issued on Aug 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springboro, OH. The record was last updated on May 14, 2018.