Individual provider · Type 1 NPI

Jacqueline Bohanske, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1922151992 Active

Practice location

4050 E Greenway Rd, Suite 2
Phoenix, AZ 85032-4700

Fax (602) 867-1827

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW-1395 (AZ)

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 1922151992

Jacqueline Bohanske, LCSW's National Provider Identifier is 1922151992, issued on Jan 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 18, 2019.