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DEVELOPMENTAL EVOLUTION LLC NPI 1710391057


NPI Information

NPI: 1710391057
Provider Name: DEVELOPMENTAL EVOLUTION, LLC

Doing Business As: MENTAL AND SOCIAL HEALTH CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
667 HUYETT RD
CHARLES TOWN, WV
ZIP 25414
Phone: (304) 725-4160
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DEVELOPMENTAL EVOLUTION, LLC is a clinical social worker in Charles Town, WV. The provider is 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. DEVELOPMENTAL EVOLUTION, LLC NPI is 1710391057. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mental And Social Health Center.

The provider's business location address is:

667 HUYETT RD
CHARLES TOWN, WV
ZIP 25414-378
Phone: (304) 725-4160

The provider's authorized official is Michael Shor .
The authorized official title is Member and has the following contact phone number (304) 725-4160.

The enumeration date for this NPI number is 6/15/2014 and was last updated on 6/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalBP00944336WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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