CLINICAL SOCIAL WORK SERVICES NPI 1003002593

Social Worker (Clinical) in Nederland, TX

About CLINICAL SOCIAL WORK SERVICES

Clinical Social Work Services is a provider in Nederland, TX. The NPI number assigned to this provider is 1003002593. The practitioner's primary taxonomy code is Social Worker (1041C0700X). The provider is registered as an organization and their NPI record was last updated 10 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.

NPI1003002593 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCLINICAL SOCIAL WORK SERVICES
Provider Location Address3005 AVENUE H NEDERLAND, TX 77627 Additional informationCallout TooltipProvider 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 Address3005 AVENUE H NEDERLAND, TX 77627 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date09-19-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-19-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

CLINICAL SOCIAL WORK SERVICES
3005 AVENUE H
NEDERLAND, TX
ZIP 77627
Phone: (409) 724-1920
Fax: (409) 724-1102
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Mailing Address

CLINICAL SOCIAL WORK SERVICES
3005 AVENUE H
NEDERLAND, TX
ZIP 77627
Phone: (409) 724-1920
Fax: (409) 724-1102

Primary Taxonomy

Taxonomy Code1041C0700X Additional informationCallout TooltipPrimary 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.
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameMS. CAROLYN JO BOURG LCSW Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePARTNER
Authorized Official Phone(409) 724-1920

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
0021AWMEDICARE PIN (08)TX

Map Location


CLINICAL SOCIAL WORK SERVICES address is 3005 AVENUE H NEDERLAND, TX 77627

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366548422MRS. DEBORAH DELORES TOMPLAIT LCSW-BCD
Individual
Social Worker (Clinical)3005 AVENUE H
NEDERLAND, TX 77627
(409) 724-1920
1578668745MS. GLENNA FRANCENE HUDGINS LCSW-BCD
Individual
Social Worker (Clinical)3005 AVENUE H
NEDERLAND, TX 77627
(409) 724-1920
1962507293MS. CAROLYN JO BOURG LCSW-BCD
Individual
Social Worker (Clinical)3005 AVENUE H
NEDERLAND, TX 77627
(409) 724-1920