Organization · Type 2 NPI

Blu Opal Therapy LLC

Clinical Social Worker · Fort Myers, FL

NPI number 1972400174 Active

Practice location

15050 Elderberry Ln Ste 6
Fort Myers, FL 33907-8504

Mailing address

813 Unger Ave
Fort Myers, FL 33913-2419

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 1972400174

Blu Opal Therapy LLC's National Provider Identifier is 1972400174, issued on Oct 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 21, 2026.