Individual provider · Type 1 NPI
Mark Petry
Clinical Social Worker · Augusta, GA
Practice location
2806 Scarlett Dr
Augusta, GA 30909-2630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1992810568
Mark Petry's National Provider Identifier is 1992810568, issued on Aug 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.