Individual provider · Type 1 NPI

Corrie Ann Tice

Clinical Social Worker · Philadelphia, PA

NPI number 1902232242 Active

Practice location

125 S 9th St
Philadelphia, PA 19107-5125

Mailing address

260 S. Broad Street
Phila, PA 19102-5126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW130684 (PA)

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 1902232242

Corrie Ann Tice's National Provider Identifier is 1902232242, issued on Sep 18, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 18, 2013.