Taxonomy Code 1041C0700X(1041c0700x)
Clinical Social Worker. Providers: 13

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Clinical Social Worker Providers

NPI Name Type Address

1356315600

LCSW Jae J. Pate

Individual

340 Magnolia Circle

325 Mdos/sgohsf

Tyndall Afb, FL

1497951917

MS. Heather Danielle Bautista

Individual

340 Magnolia Cir

Tyndall Afb, FL

1821103532

MR. M.S.W, L.C.S.W. Brett A. Rash

Individual

325th Medical Group

340 Magnolia Circle, Bldg. 1465

Tyndall Afb, FL

1093053282

LCSW Melissa Brooks Smith

Individual

325 Mdg, 340 Magnolia Circle

Tyndall Afb, FL

1548251465

LCSW Gabrielle Kelly Blankenship

Individual

325 Mdg, 340 Magnolia Circle

Tyndall Afb, FL

1306905211

MS. LCSW Xhosa R Burford

Individual

340 Magnolia Cir

Tyndall Afb, FL

1720532211

MRS. LCSW Megan Sue Mould

Individual

340 Magnolia Cir

Tyndall Afb, FL

1093273625

LCSW Timothy Gallagher

Individual

340 Magnolia Cir

Tyndall Afb, FL

1477179158

LCSW Andrea C Bright

Individual

325 Mdg, 340 Magnolia Circle

Tyndall Afb, FL

1245852300

LCSW Eliza Rosburg

Individual

340 Magnolia Cir

Tyndall Afb, FL

1437822970

Christine Kersten

Individual

340 Magnolia Cir

Tyndall Afb, FL

1447431952

MRS. LCSW, LCAC, CADAC IV Delia Maria Mcglocklin

Individual

650 Florida Ave

Tyndall Afb, FL

1619488806

LCSW Clairissa Richardson

Individual

340 Magnolia Cir

Tyndall Afb, FL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1041C0700X
Specialization Clinical
Display Name Clinical Social Worker
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Social Worker
Definition 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Effective Date September 30, 2009
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Social Worker Codes

School Social Worker

1041S0200X • providers: 4,492

Social Worker

104100000X • providers: 105,298