Organization · Type 2 NPI

Tides of Change

Clinical Social Worker · Sierra Vista, AZ

NPI number 1811273568 Active

Practice location

333 W Wilcox Dr, Ste. 303
Sierra Vista, AZ 85635-1789

Fax (520) 458-2269

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLPC12687 (AZ)
Addiction (Substance Use Disorder) Counselor 101YA0400XLISAC10504 (AZ)
Clinical Social Worker Primary 1041C0700XLCSW10948 (AZ)
Clinical Social Worker 1041C0700XLMSW (AZ)
Clinical Social Worker 1041C0700XLCSW12394 (AZ)
Clinical Social Worker 1041C0700XLCSW2922
Clinical Social Worker 1041C0700XLCSW2811 (AZ)

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…

3 other providers at this address

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About NPI 1811273568

Tides of Change's National Provider Identifier is 1811273568, issued on Oct 26, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sierra Vista, AZ. The record was last updated on Oct 26, 2011.