Organization · Type 2 NPI

Soldier Therapist

Clinical Social Worker · Lawrenceville, GA

NPI number 1780348458 Active

Practice location

1760 Lakes Pkwy Unit 4416
Lawrenceville, GA 30043-6194

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 1780348458

Soldier Therapist's National Provider Identifier is 1780348458, issued on Oct 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Feb 28, 2022.