NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

JOSE I CARBAJAL, LCSW – NPI #1609041862
Clinical

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.


Contact Information

JOSE I CARBAJAL, LCSW
111 NW 24TH ST
FORT WORTH, TX76164-8544
 Phone: 817-626-6401
 Fax: 817-626-6400
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Clinical

1041C0700X
Indicates primary specialty
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NPI Information for JOSE I CARBAJAL · (Male)

NPI Number 1609041862
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/28/2008
Last updated 01/17/2012 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
TX License # 40907
TX Medicaid 194247601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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