Individual provider · Type 1 NPI

Mary Brandon, LCSW

Clinical Social Worker · Fort Campbell, KY

NPI number 1801064001 Active

Practice location

Blanchfield Army Community Hospital, 650 Joel Drive
Fort Campbell, KY 42223-5349

Fax (270) 956-0180

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	1016 (TN)

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 1801064001

Mary Brandon, LCSW's National Provider Identifier is 1801064001, issued on Feb 11, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Campbell, KY. The record was last updated on Feb 11, 2008.