Organization · Type 2 NPI
Youth Form, LLC
Clinical Social Worker · Tallahassee, FL
Practice location
1018 Thomasville Rd
Tallahassee, FL 32303-8701
Mailing address
PO Box 332
Lloyd, FL 32337-0332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1699528059
Youth Form, LLC's National Provider Identifier is 1699528059, issued on Apr 8, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tallahassee, FL. The record was last updated on Apr 8, 2024.