Individual provider · Type 1 NPI

Carly Justus

Clinical Social Worker · Springfield, OH

NPI number 1790226512 Active

Practice location

474 N Yellow Springs St
Springfield, OH 45504-2463

Call (937) 399-9500 Map

Fax (937) 342-4242

Other practice locations

  • 1479 Collins Ave, Marysville, OH 43040-8808 · (937) 642-1065

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.1450465 (OH)
Clinical Social Worker Primary 1041C0700XI.1700695 (OH)

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 1790226512

Carly Justus's National Provider Identifier is 1790226512, issued on Mar 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, OH. The record was last updated on Mar 17, 2018.