CLINICAL SOCIAL WORK SERVICES NPI 1003002593
Social Worker (Clinical) in Nederland, TX
About CLINICAL SOCIAL WORK SERVICES
Clinical Social Work Services is a provider established in Nederland, Texas specializing in social worker. The NPI number of Clinical Social Work Services is 1003002593 and was assigned on September 2007. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Clinical Social Work Services operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Carolyn Jo Bourg Lcsw (Partner)
| NPI | 1003002593 |
| Provider Name | CLINICAL SOCIAL WORK SERVICES |
| Provider Location Address | 3005 AVENUE H NEDERLAND, TX 77627 |
| Provider Mailing Address | 3005 AVENUE H NEDERLAND, TX 77627 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-19-2007 |
| Last Update Date | 09-19-2007 |
Primary Taxonomy
| Taxonomy Code | 1041C0700X |
| Classification | Social Worker |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Clinical |
| Taxonomy Description | 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. |
Business Address
CLINICAL SOCIAL WORK SERVICES
3005 AVENUE H
NEDERLAND, TX
ZIP 77627
Phone: (409) 724-1920
Fax: (409) 724-1102
Mailing Address
CLINICAL SOCIAL WORK SERVICES
3005 AVENUE H
NEDERLAND, TX
ZIP 77627
Phone: (409) 724-1920
Fax: (409) 724-1102
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 0021AW | MEDICARE PIN (08) | TX |
Other Providers at the same location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366548422 | MRS. DEBORAH DELORES TOMPLAIT LCSW-BCD Individual | Social Worker (Clinical) | 3005 AVENUE H NEDERLAND, TX 77627 (409) 724-1920 |
| 1578668745 | MS. GLENNA FRANCENE HUDGINS LCSW-BCD Individual | Social Worker (Clinical) | 3005 AVENUE H NEDERLAND, TX 77627 (409) 724-1920 |
| 1962507293 | MS. CAROLYN JO BOURG LCSW-BCD Individual | Social Worker (Clinical) | 3005 AVENUE H NEDERLAND, TX 77627 (409) 724-1920 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.