Organization · Type 2 NPI

Ebony Therapy LLC

Clinical Social Worker · Bridgeton, MO

NPI number 1679173108 Active

Practice location

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244

Call (314) 791-2606 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1679173108

Ebony Therapy LLC's National Provider Identifier is 1679173108, issued on Oct 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bridgeton, MO. The record was last updated on Nov 17, 2020.