Individual provider · Type 1 NPI

Lori Beth Mangan

Clinical Social Worker · Crescent Springs, KY

NPI number 1033623376 Active

Practice location

541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696

Fax (561) 401-9196

Mailing address

103 Fox Meadow Run
Jupiter, FL 33458-5504

Other practice locations

  • 103 Fox Meadow Run, Jupiter, FL 33458-5504 · (859) 250-6898
  • 116 Intracoastal Pointe Dr Ste 200, Jupiter, FL 33477-5024 · (612) 779-6425

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X292540 (KY)
Clinical Social Worker 1041C0700XSW17168 (FL)
Clinical Social Worker Primary 1041C0700X252940 (KY)

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 1033623376

Lori Beth Mangan's National Provider Identifier is 1033623376, issued on Nov 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crescent Springs, KY. The record was last updated on Dec 18, 2023.