Individual provider · Type 1 NPI

Lisa Packard

Clinical Social Worker · Port Orange, FL

NPI number 1053819953 Active

Practice location

906 Wingate Trl
Port Orange, FL 32128-7524

Other practice locations

  • 125 S Swoope Ave Ste 110, Maitland, FL 32751-5784 · (407) 622-0444

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW13499 (FL)

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 1053819953

Lisa Packard's National Provider Identifier is 1053819953, issued on Jan 25, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Orange, FL. The record was last updated on Mar 17, 2018.