Individual provider · Type 1 NPI

Kathleen Wakefield, LMSW-ACP

Clinical Social Worker · Tyler, TX

NPI number 1063481380 Active

Practice location

2323 W Front St
Tyler, TX 75702-7704

Fax (903) 535-7384

Mailing address

PO Box 4730
Tyler, TX 75712-4730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X22205 (TX)
Clinical Social Worker Primary 1041C0700X22205 (TX)

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 1063481380

Kathleen Wakefield, LMSW-ACP's National Provider Identifier is 1063481380, issued on Mar 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tyler, TX. The record was last updated on Jan 4, 2024.