Individual provider · Type 1 NPI

Hollis Widdekind, LCSW

Clinical Social Worker · Boca Raton, FL

NPI number 1720467970 Active

Practice location

621 NW 53rd St Ste 125
Boca Raton, FL 33487-8236

Call (954) 663-2475 Map

Mailing address

111 Eubanks Ct
Woodstock, GA 30188-1903

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 12779 (FL)

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 1720467970

Hollis Widdekind, LCSW's National Provider Identifier is 1720467970, issued on May 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boca Raton, FL. The record was last updated on Dec 8, 2023.