Individual provider · Type 1 NPI

Ellen Booker, LCSW

Clinical Social Worker · Hampton, VA

NPI number 1871655282 Active

Practice location

2244 Executive Dr
Hampton, VA 23666-2430

Mailing address

150 Routten Rd
Hampton, VA 23664-2028

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904006427 (VA)

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 1871655282

Ellen Booker, LCSW's National Provider Identifier is 1871655282, issued on Dec 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Jul 8, 2007.