Individual provider · Type 1 NPI

Justin Waldo, LCSW

Clinical Social Worker · Lexington, KY

NPI number 1689213761 Active

Practice location

Lexington Va Medical Center, 1101 Veteran's Drive
Lexington, KY 40502

Mailing address

4051 Winnipeg Way
Lexington, KY 40515-4631

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5143 (KY)

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 1689213761

Justin Waldo, LCSW's National Provider Identifier is 1689213761, issued on Jan 6, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lexington, KY. The record was last updated on Feb 12, 2020.