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Mr. Charles R Granholm JR., LCSW
Clinical Social Worker in Fort Knox, Kentucky
NPI 1619953213

Charles R Granholm JR. is a Clinical Social Worker based in Fort Knox, KY and is specialized in Clinical. Charles R Granholm JR. practices in Fort Knox, KY and has the professional credentials of LCSW. The NPI Number for Charles R Granholm JR. is 1619953213 and holds a License No. 1308 (Kentucky).

The current practice location address for Charles R Granholm JR. is 200 Brule St Bldg Ireland, Fort Knox, KY and can be reached out via phone at 502-626-9885.

Location: 200 Brule St Bldg Ireland, Fort Knox, KY, 40121-6100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619953213
Provider Name
Charles R Granholm JR.
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
200 Brule St Bldg Ireland, Fort Knox, KY, 40121-6100
Phone Number
502-626-9885
Fax Number
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1308 01 KY STATE LICENSE
34004318A 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
200 Brule St Bldg Ireland
City
Fort Knox
State
Kentucky
Zip
40121-6100
Phone Number
502-626-9885
Fax Number
person
Provider Business Mailing Address Details
Address
200 Brule St Bldg Ireland
City
Fort Knox
State
Kentucky
Zip
40121-6100
Phone Number
502-626-9885
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
1308 (Kentucky)
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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