Individual provider · Type 1 NPI
Allen R. Stata, PhD, LCSW (PIP) ACSW
Clinical Social Worker · Marion, AL
Practice location
104 Edwards Drive
Marion, AL 36756
Fax (334) 683-4114
Mailing address
1017 Medical Center Parkway
Selma, AL 36701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2235C (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…
Other clinical social worker providers in Marion
About NPI 1861934705
Allen R. Stata, PhD, LCSW (PIP) ACSW's National Provider Identifier is 1861934705, issued on Nov 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, AL. The record was last updated on Nov 9, 2016.