Individual provider · Type 1 NPI
Cornelia Tietke, LICSW
Clinical Social Worker · Washington, DC
Practice location
5247 Wisconsin Ave NW, Suite 2
Washington, DC 20015-2012
Mailing address
5247 Wisconsin Ave NW Ste 2
Washington, DC 20015-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LC50079008 (DC) |
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 1902196306
Cornelia Tietke, LICSW's National Provider Identifier is 1902196306, issued on Apr 19, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Apr 12, 2012.