Individual provider · Type 1 NPI

Bryan W. Hodges, LISW, LADAC

Clinical Social Worker · Las Cruces, NM

NPI number 1720205719 Active

Practice location

100 W Griggs Ave
Las Cruces, NM 88001-1234

Fax (575) 647-2898

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0081351 (NM)
Clinical Social Worker Primary 1041C0700XI-05676 (NM)

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 1720205719

Bryan W. Hodges, LISW, LADAC's National Provider Identifier is 1720205719, issued on Apr 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Cruces, NM. The record was last updated on Feb 17, 2015.