Individual provider · Type 1 NPI

Lisa Marie Desselles, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1083905285 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Mailing address

806 Carlton Park Dr
Flowood, MS 39232-5525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4925 (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 1083905285

Lisa Marie Desselles, LCSW's National Provider Identifier is 1083905285, issued on Apr 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Apr 22, 2011.