Organization · Type 2 NPI

Bonafide Therapeutic Alliance LLC

Clinical Social Worker · Clarksville, TN

NPI number 1902771256 Active

Practice location

1792 Patricia Dr
Clarksville, TN 37040-7345

Other practice locations

  • 140 Wallace Blvd, Clarksville, TN 37042-3011 · (931) 914-4807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1902771256

Bonafide Therapeutic Alliance LLC's National Provider Identifier is 1902771256, issued on Oct 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clarksville, TN. The record was last updated on Oct 7, 2025.