Organization · Type 2 NPI

Polonchak Educational Associates

Clinical Social Worker · Shepherdstown, WV

NPI number 1720294226 Active

Practice location

129 E. German St.
Shepherdstown, WV 25443

Fax (304) 876-1421

Mailing address

234 Deer Mountain Dr
Harpers Ferry, WV 25425-5490

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00940860 (WV)

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 1720294226

Polonchak Educational Associates's National Provider Identifier is 1720294226, issued on May 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shepherdstown, WV. The record was last updated on Jun 25, 2008.