44D0885401 CLIA NUMBER - CHRISTIAN BROTHERS UNIVERSITY HEALTH RESOURCES

Laboratory Demographics

CLIA Number: 44D0885401

Facility Name: CHRISTIAN BROTHERS UNIVERSITY HEALTH RESOURCES

Facility Address:
650 EAST PARKWAY SOUTH
MEMPHIS, TN
ZIP 38104
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Facility Phone Number: 901 321-3260

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1811299514

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	44D0885401
LAB Type	School/Student Health Service
Facility Name	CHRISTIAN BROTHERS UNIVERSITY HEALTH RESOURCES
Street	650 EAST PARKWAY SOUTH
City	MEMPHIS
State	TN
ZIP	38104
Phone	901 321-3260
CertificateType	3
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	PPMP

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