Individual provider · Type 1 NPI

Samantha Deribin

Clinical Social Worker · Columbus, OH

NPI number 1770970212 Active

Practice location

399 E Main St
Columbus, OH 43215-5384

Fax (614) 355-8593

Mailing address

Dept 781625
Detroit, MI 48278-1625

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS 1303180 (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…

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About NPI 1770970212

Samantha Deribin's National Provider Identifier is 1770970212, issued on Apr 22, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Apr 22, 2015.