Individual provider · Type 1 NPI

Jay W. Eubanks Jr., LCSW-C

Clinical Social Worker · Gaithersburg, MD

NPI number 1821455825 Active

Practice location

4 Professional Dr, #120
Gaithersburg, MD 20879-3407

Call (301) 330-5669 Map

Fax (301) 330-5639

Mailing address

20300 Cider Barrel Dr
Germantown, MD 20876-2760

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10007 (MD)

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 1821455825

Jay W. Eubanks Jr., LCSW-C's National Provider Identifier is 1821455825, issued on Jan 21, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Jan 21, 2016.