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10D2092905 CLIA NUMBER - SURVIVORS PATHWAY CORPORATION

Laboratory Demographics

CLIA Number: 10D2092905

Facility Name: SURVIVORS PATHWAY CORPORATION

Facility Address:
33 DOWNTOWN BUSINESS CENTER 33 SW 2ND AVE, STE 901
MIAMI, FL
ZIP 33130
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Facility Phone Number: 786 275-4364

Facility Type: Other - MENTAL HEALTH COMMUNITY C

Certificate Type: Waiver
NPI Number: 1598112260

Taxonomy: 1041C0700X - 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 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.

CLIA Record

Field Name Field Value
CLIA Number 10D2092905
LAB Type Other - MENTAL HEALTH COMMUNITY C
Facility Name SURVIVORS PATHWAY CORPORATION
Street 33 DOWNTOWN BUSINESS CENTER 33 SW 2ND AVE, STE 901
City MIAMI
State FL
ZIP 33130
Phone 786 275-4364
CertificateType 4
CertificateEffectiveDate 3/17/2023
CertificateExpirationDate 3/16/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024