Individual provider · Type 1 NPI

Georgia Faye Koushiafes, MSW LCSW

Clinical Social Worker · Bloomington, IN

NPI number 1700555836 Active

Practice location

604 W Dodds St
Bloomington, IN 47403-4773

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34003881A (IN)

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 1700555836

Georgia Faye Koushiafes, MSW LCSW's National Provider Identifier is 1700555836, issued on Sep 11, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IN. The record was last updated on Sep 11, 2021.