Organization · Type 2 NPI

Rivendell Center LLC

Clinical Social Worker · Maryville, TN

NPI number 1720097975 Active

Practice location

216 Fairview Dr
Maryville, TN 37803-0537

Fax (865) 977-9573

Mailing address

120 Wilson Ave
Maryville, TN 37803-6051

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLSW0000003963 (TN)

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 1720097975

Rivendell Center LLC's National Provider Identifier is 1720097975, issued on Aug 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Maryville, TN. The record was last updated on Oct 4, 2007.