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Mr. Larry Wayne Breedlove
Clinical Social Worker in Hollidaysburg, Pennsylvania
NPI 1326179474

Larry Wayne Breedlove is a Clinical Social Worker based in Hollidaysburg, PA and is specialized in Clinical. Larry Wayne Breedlove practices in Hollidaysburg, PA. The NPI Number for Larry Wayne Breedlove is 1326179474 and holds a License No. (Pennsylvania).

The current practice location address for Larry Wayne Breedlove is 1906 N Juniata St, Hollidaysburg, PA and can be reached out via phone at 814-695-2984 and via fax at 814-695-2110.

Location: 1906 N Juniata St, Hollidaysburg, PA, 16648-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326179474
Provider Name
Larry Wayne Breedlove
Credential
Provider Entity Type
Individual
Gender
Male
Address
1906 N Juniata St, Hollidaysburg, PA, 16648-1908
Phone Number
814-695-2984
Fax Number
814-695-2110
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SYC7165 01 CA STAFF CODE
institution
Provider Business Practice Location Address Details
Address
1906 N Juniata St
City
Hollidaysburg
State
Pennsylvania
Zip
16648-1908
Phone Number
814-695-2984
Fax Number
814-695-2110
person
Provider Business Mailing Address Details
Address
1906 N Juniata St
City
Hollidaysburg
State
Pennsylvania
Zip
16648-1908
Phone Number
814-695-2984
Fax Number
814-695-2110
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CW023022 (Pennsylvania)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
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.
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