Individual provider · Type 1 NPI

Amber Street, LCSW

Clinical Social Worker · Johnson City, TN

NPI number 1902258239 Active

Practice location

403 Princeton Rd Ste 2
Johnson City, TN 37601-2040

Call (423) 297-8351 Map

Mailing address

393 Max Jett Rd
Johnson City, TN 37601-6265

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0000006334 (TN)

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 1902258239

Amber Street, LCSW's National Provider Identifier is 1902258239, issued on Jul 11, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Johnson City, TN. The record was last updated on Aug 11, 2016.