Individual provider · Type 1 NPI

Nancy J. Udolph, LISW-S, PCC-S

Clinical Social Worker · Ashland, OH

NPI number 1689713174 Active

Practice location

19 W Main St, Suite 16
Ashland, OH 44805-2282

Mailing address

1227 Eastbrook Dr
Ashland, OH 44805-3415

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE0000325 (OH)
Clinical Social Worker Primary 1041C0700XI0002798 (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 1689713174

Nancy J. Udolph, LISW-S, PCC-S's National Provider Identifier is 1689713174, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ashland, OH. The record was last updated on Dec 16, 2010.