Individual provider · Type 1 NPI

Kingsley Ezema

Clinical Social Worker · Columbus, GA

NPI number 1760630412 Active

Practice location

421 12th St
Columbus, GA 31901-2522

Call (706) 494-7776 Map

Fax (706) 494-7076

Mailing address

4800 Burt Mar Dr, Apt. F3
Columbus, GA 31907-9570

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1760630412

Kingsley Ezema's National Provider Identifier is 1760630412, issued on Sep 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, GA. The record was last updated on Sep 7, 2008.