Individual provider · Type 1 NPI

Mona Marie Holloway, LCSW

Clinical Social Worker · Gulfport, MS

NPI number 1003679549 Active

Practice location

1520 29th Ave Ste 36
Gulfport, MS 39501-2843

Mailing address

15353 Winsor Pl
Diberville, MS 39540-3018

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC10881 (MS)

Clinical Social Worker: 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 interpers…

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About NPI 1003679549

Mona Marie Holloway, LCSW's National Provider Identifier is 1003679549, issued on Feb 6, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Feb 6, 2024.