Individual provider · Type 1 NPI

Glenda J. Kupersmith, LISW

Clinical Social Worker · Willoughby, OH

NPI number 1861569840 Active

Practice location

34950 Chardon Rd, Ste. 202
Willoughby, OH 44094-9162

Fax (440) 510-5151

Mailing address

30800 Gates Mills Blvd
Pepper Pike, OH 44124-4370

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI 0007108 (OH)

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 1861569840

Glenda J. Kupersmith, LISW's National Provider Identifier is 1861569840, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Willoughby, OH. The record was last updated on Jul 8, 2007.