Individual provider · Type 1 NPI

Carl Gareth Cordova, LCSW

Clinical Social Worker · Fort Worth, TX

NPI number 1700161502 Active

Practice location

4204 Staghorn Cir N
Fort Worth, TX 76137-1121

Mailing address

PO Box 2512
Fort Worth, TX 76113-2512

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X51542 (TX)

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 1700161502

Carl Gareth Cordova, LCSW's National Provider Identifier is 1700161502, issued on Oct 12, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 5, 2012.