Individual provider · Type 1 NPI

Ebony Thomas, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1013420702 Active

Practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Call (601) 421-9720 Map

Mailing address

PO Box 7232
Jackson, MS 39282-7232

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7831 (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 1013420702

Ebony Thomas, LCSW's National Provider Identifier is 1013420702, issued on Nov 16, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Nov 16, 2017.