Individual provider · Type 1 NPI

Phillip Craig Nissen, LCSW-C

Clinical Social Worker · Perry Point, MD

NPI number 1720173180 Active

Practice location

1H Circle Drive
Perry Point, MD 21902

Fax (410) 642-1852

Mailing address

55 Knights Island Road
Earleville, MD 21919

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X03563 (MD)

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 1720173180

Phillip Craig Nissen, LCSW-C's National Provider Identifier is 1720173180, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Perry Point, MD. The record was last updated on Jul 8, 2007.