Individual provider · Type 1 NPI

Sally A. Fowler, LCSW

Clinical Social Worker · Jacksonville, FL

NPI number 1780736991 Active

Practice location

3601 Hendricks Avenue
Jacksonville, FL 32207

Fax (904) 396-2698

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	SW5174 (FL)

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 1780736991

Sally A. Fowler, LCSW's National Provider Identifier is 1780736991, issued on Jan 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.