Organization · Type 2 NPI

Intentional Change Therapy, LLC

Clinical Social Worker · Cleveland, OH

NPI number 1801631239 Active

Practice location

2233 E. 81st St.
Cleveland, OH 44103-5003

Mailing address

P.o. Box 603249
Cleveland, OH 44103-0249

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

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 1801631239

Intentional Change Therapy, LLC's National Provider Identifier is 1801631239, issued on Jun 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cleveland, OH. The record was last updated on Jun 27, 2024.