Individual provider · Type 1 NPI

Jennifer Laurie Glaze, LCSW

Clinical Social Worker · Acworth, GA

NPI number 1780959312 Active

Practice location

3459 Acworth Due West Rd NW Ste 101
Acworth, GA 30101-5820

Mailing address

4817 Wilkie Way NW
Acworth, GA 30102-7928

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004846 (GA)

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 1780959312

Jennifer Laurie Glaze, LCSW's National Provider Identifier is 1780959312, issued on Mar 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Acworth, GA. The record was last updated on Jan 3, 2020.