Individual provider · Type 1 NPI

Mary Katherine Soucek, M.S., M.S.W.

Clinical Social Worker · Fort Myers, FL

NPI number 1881954584 Active

Practice location

1940 Maravilla Ave
Fort Myers, FL 33901-7135

Call (239) 334-0222 Map

Fax (239) 334-0244

Mailing address

6360 Techster Blvd, Ste 1
Fort Myers, FL 33966-4805

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW12468 (FL)
Social Worker 104100000XNone listed

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 1881954584

Mary Katherine Soucek, M.S., M.S.W.'s National Provider Identifier is 1881954584, issued on May 29, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Myers, FL. The record was last updated on Jan 19, 2019.