Individual provider · Type 1 NPI

Timothy Gordon Runk, LICSW

Clinical Social Worker · Dover, NH

NPI number 1790038008 Active

Practice location

16 Fifth St
Dover, NH 03820-2950

Fax (603) 749-2475

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1255 (NH)

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 1790038008

Timothy Gordon Runk, LICSW's National Provider Identifier is 1790038008, issued on Oct 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dover, NH. The record was last updated on Oct 24, 2012.