Individual provider · Type 1 NPI

Mary Katherine Latessa, LCSW

Clinical Social Worker · Kansas City, MO

NPI number 1104061506 Active

Practice location

1000 E 24th St
Kansas City, MO 64108-2776

Fax (816) 512-7216

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X001201 (KS)

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 1104061506

Mary Katherine Latessa, LCSW's National Provider Identifier is 1104061506, issued on Dec 14, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas City, MO. The record was last updated on Dec 14, 2008.