Individual provider · Type 1 NPI
Robert Wayne Sutak, L.I.S.W-S.
Clinical Social Worker · New Middletown, OH
Practice location
10391 Midway Drive
New Middletown, OH 44442
Fax (330) 366-0312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | I0009404 (OH) |
| Clinical Social Worker Primary | 1041C0700X | I0009404 (OH) |
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…
About NPI 1770545543
Robert Wayne Sutak, L.I.S.W-S.'s National Provider Identifier is 1770545543, issued on Apr 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Middletown, OH. The record was last updated on May 13, 2009.