Individual provider · Type 1 NPI

Charlene Vandiver

Clinical Social Worker · Jacksonville, FL

NPI number 1801280763 Active

Practice location

3361 Sara Dr
Jacksonville, FL 32277-2525

Mailing address

6999-02 Merrill Rd, #206
Jacksonville, FL 32277-2525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X9222 (FL)
Clinical Social Worker Primary 1041C0700XSW15684 (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 1801280763

Charlene Vandiver's National Provider Identifier is 1801280763, issued on Mar 27, 2015. 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 29, 2022.