Individual provider · Type 1 NPI

Stephanie Renee Dates, LICSW

Clinical Social Worker · Talladega, AL

NPI number 1831829191 Active

Practice location

285 Hindman Ln
Talladega, AL 35160-6448

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4876C (AL)

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 1831829191

Stephanie Renee Dates, LICSW's National Provider Identifier is 1831829191, issued on Jun 10, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Talladega, AL. The record was last updated on Jun 10, 2022.