Individual provider · Type 1 NPI

Gina Licursi, LSW

Clinical Social Worker · Chardon, OH

NPI number 1891226411 Active

Practice location

12041 Ravenna Rd
Chardon, OH 44024-7008

Call (440) 286-7154 Map

Fax (440) 286-1037

Mailing address

10025 Chillicothe Rd
Kirtland, OH 44094-9734

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1600350 (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 1891226411

Gina Licursi, LSW's National Provider Identifier is 1891226411, issued on Mar 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chardon, OH. The record was last updated on Mar 24, 2017.