Individual provider · Type 1 NPI

Philip Glen Bascom, LCSW

Clinical Social Worker · Robins Afb, GA

NPI number 1831183623 Active

Practice location

655 7th St Bldg 700
Robins Afb, GA 31098-2227

Call (850) 461-2083 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC4245 (ME)

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 1831183623

Philip Glen Bascom, LCSW's National Provider Identifier is 1831183623, issued on Sep 7, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Robins Afb, GA. The record was last updated on Sep 7, 2010.