Individual provider · Type 1 NPI

Patricia Jean Kolanko-Brown, LSCW

Clinical Social Worker · Macdill Afb, FL

NPI number 1699769810 Active

Practice location

8415 Bayshore Blvd
Macdill Afb, FL 33621-1607

Fax (813) 828-6868

Mailing address

5910 N Kenneth Ave
Tampa, FL 33604-6518

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 0003715 (FL)

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 1699769810

Patricia Jean Kolanko-Brown, LSCW's National Provider Identifier is 1699769810, issued on Sep 2, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Macdill Afb, FL. The record was last updated on Jul 17, 2008.