Individual provider · Type 1 NPI

Maren E. Villavisanis, LCSW

Clinical Social Worker · St. Augustine, FL

NPI number 1972885259 Active

Practice location

9 Saint Johns Medical Park Dr
St. Augustine, FL 32086-5343

Fax (904) 797-2820

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW7255 (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 1972885259

Maren E. Villavisanis, LCSW's National Provider Identifier is 1972885259, issued on Sep 13, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 13, 2011.