Individual provider · Type 1 NPI

Mark Jude Stanford, LCSW

Clinical Social Worker · Lafayette, LA

NPI number 1073879649 Active

Practice location

1003 Hugh Wallis Rd S, C-6
Lafayette, LA 70508-2528

Call (337) 344-1617 Map

Mailing address

112 Howard Ave
Lafayette, LA 70506-4402

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10658 (LA)

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 1073879649

Mark Jude Stanford, LCSW's National Provider Identifier is 1073879649, issued on Apr 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, LA. The record was last updated on Apr 7, 2012.