Individual provider · Type 1 NPI

James Edwin Bristol Iii, M.A., M.DIV., J.D.

Clinical Social Worker · Santa Fe, NM

NPI number 1932303062 Active

Practice location

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Mailing address

317 Paseo De Peralta
Santa Fe, NM 87501-1860

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-05175 (NM)

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 1932303062

James Edwin Bristol Iii, M.A., M.DIV., J.D.'s National Provider Identifier is 1932303062, issued on Jun 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe, NM. The record was last updated on Jul 8, 2007.