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BARBARA FINE, LCSW, BCD PSYCHOTHERAPY 23 White Street, Shrewsbury, New Jersey 07702 (732) 7411333 INTAKE FORM Please provide the following information and answer the questions below. Please note:
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Barbara Fane LCSW BCD is a licensed clinical social worker who has obtained the Board Certified Diplomate credential.
Licensed clinical social workers who hold the Board Certified Diplomate credential are required to file Barbara Fane LCSW BCD form.
The Barbara Fane LCSW BCD form must be filled out with accurate information about the clinical social worker's practice and professional details.
The purpose of Barbara Fane LCSW BCD is to provide a comprehensive overview of the clinical social worker's practice and professional qualifications.
Information such as caseload demographics, practice setting, treatment modalities used, and ongoing professional development activities must be reported on Barbara Fane LCSW BCD.
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