Individual provider · Type 1 NPI

Brent Thomas Dudley, LCSW

Clinical Social Worker · Opa Locka, FL

NPI number 1912529256 Active

Practice location

16531 NW 18th Ave
Opa Locka, FL 33054-6617

Mailing address

21211 NW 32nd Ave
Miami Gardens, FL 33056-1151

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW16576 (FL)

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 1912529256

Brent Thomas Dudley, LCSW's National Provider Identifier is 1912529256, issued on May 9, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Opa Locka, FL. The record was last updated on May 12, 2020.