Individual provider · Type 1 NPI

Alexandria Banta, LISW-S

Clinical Social Worker · Columbus, OH

NPI number 1689241085 Active

Practice location

1120 Polaris Pkwy Ste 204
Columbus, OH 43240-4042

Call (859) 630-5219 Map

Mailing address

184 E Kossuth St
Columbus, OH 43206-2160

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1901417-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 1689241085

Alexandria Banta, LISW-S's National Provider Identifier is 1689241085, issued on Jun 6, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Jun 6, 2021.