10D2107717 CLIA NUMBER - BOARDPREP LLC

Laboratory Demographics

CLIA Number: 10D2107717

Facility Name: BOARDPREP LLC

Facility Address:
2522 W KENNEDY BLVD
TAMPA, FL
ZIP 33609
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Facility Phone Number: 813 600-7929

Facility Type: Other - BEHAVIORAL HEALTH SUBSTAN

Certificate Type: Waiver

NPI Number: 1487050597

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	10D2107717
LAB Type	Other - BEHAVIORAL HEALTH SUBSTAN
Facility Name	BOARDPREP LLC
Street	2522 W KENNEDY BLVD
City	TAMPA
State	FL
ZIP	33609
Phone	813 600-7929
CertificateType	4
CertificateEffectiveDate	1/21/2024
CertificateExpirationDate	1/20/2026
FacilityType	Waiver

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