Individual provider · Type 1 NPI

Tara Gravitt, LCSW, CAADC, CCM

Clinical Social Worker · Philadelphia, PA

NPI number 1699371419 Active

Practice location

1601 Walnut St Ste 1017
Philadelphia, PA 19102-2906

Mailing address

PO Box 9142
Philadelphia, PA 19139-9142

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X8157 (PA)
Case Manager/Care Coordinator 171M00000X4237640 (PA)
Clinical Social Worker Primary 1041C0700XCW020814 (PA)

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 1699371419

Tara Gravitt, LCSW, CAADC, CCM's National Provider Identifier is 1699371419, issued on Dec 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 7, 2020.