Individual provider · Type 1 NPI

Channelle Bastardo, LCSW

Clinical Social Worker · Denton, TX

NPI number 1780322875 Active

Practice location

2660 Scripture St Ste 210
Denton, TX 76201-4343

Call (940) 315-7825 Map

Mailing address

1440 Carrollton Pkwy Apt 23307
Carrollton, TX 75010-1378

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X107722 (TX)

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 1780322875

Channelle Bastardo, LCSW's National Provider Identifier is 1780322875, issued on May 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Denton, TX. The record was last updated on Aug 26, 2022.