POTENTIAL PSYCHOLOGICAL SERVICES CORP NPI 1992186399

NPI Details

POTENTIAL PSYCHOLOGICAL SERVICES CORP is a clinical social worker in Dade City, FL. 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. POTENTIAL PSYCHOLOGICAL SERVICES CORP NPI is 1992186399. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13220 SCHARBER RD
DADE CITY, FL
ZIP 33525-008
Phone: (352) 588-5135

The provider's authorized official is Daryl D. Bozone .
The authorized official title is President and has the following contact phone number (352) 588-5135.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.

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: