Individual provider · Type 1 NPI

Timothy P. Pickerrell, LCSW-I

Clinical Social Worker · Daytona Beach, FL

NPI number 1710492913 Active

Practice location

133 Integra Breeze Ln Unit 104
Daytona Beach, FL 32117-5584

Call (270) 401-6905 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1710492913

Timothy P. Pickerrell, LCSW-I's National Provider Identifier is 1710492913, issued on Dec 11, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Daytona Beach, FL. The record was last updated on Dec 11, 2017.