Organization · Type 2 NPI
Ebb Tide Therapy
Clinical Social Worker · Milwaukee, WI
Practice location
2821 N 4th St Ste 209
Milwaukee, WI 53212-2367
Fax (414) 372-7213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1971-132 |
| Clinical Social Worker Primary | 1041C0700X | 7197-123 (WI) |
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 1720353741
Ebb Tide Therapy's National Provider Identifier is 1720353741, issued on Mar 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 5, 2012.