Individual provider · Type 1 NPI

Mary Juanita Shakes, LCSW

Clinical Social Worker · Demopolis, AL

NPI number 1083785182 Active

Practice location

205 Herbert Street
Demopolis, AL 36732

Fax (601) 485-5215

Mailing address

P.o. Box 1127
Demopolis, AL 36732

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X0113C (AL)
Clinical Social Worker 1041C0700XC7264 (MS)
Clinical Social Worker Primary 1041C0700X0113C (MS)
Clinical Social Worker 1041C0700XNone listed

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 1083785182

Mary Juanita Shakes, LCSW's National Provider Identifier is 1083785182, issued on Nov 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Demopolis, AL. The record was last updated on Aug 24, 2011.