Organization · Type 2 NPI

Supportive Shores: Family & Therapy Services

Clinical Social Worker · Mount Vernon, TX

NPI number 1104733831 Active

Practice location

203 Kaufman St N
Mount Vernon, TX 75457-2309

Mailing address

PO Box 841
Mount Vernon, TX 75457-0841

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 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…

2 other providers at this address

About NPI 1104733831

Supportive Shores: Family & Therapy Services's National Provider Identifier is 1104733831, issued on Aug 26, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Vernon, TX. The record was last updated on Sep 3, 2026.