Individual provider · Type 1 NPI

Theresa Mervenne, LCSW, MSW

Clinical Social Worker · St. Petersburg, FL

NPI number 1679939219 Active

Practice location

735 Arlington Ave N, Suite 212
St. Petersburg, FL 33701-3652

Mailing address

901 34th Ave N, #7844
St. Petersburg, FL 33734-8064

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW12066 (FL)
Clinical Social Worker 1041C0700XLW60173115 (WA)

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 1679939219

Theresa Mervenne, LCSW, MSW's National Provider Identifier is 1679939219, issued on Jan 12, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 12, 2016.