Individual provider · Type 1 NPI

Lisa Colleen Maddocks, LCSW

Clinical Social Worker · Tampa, FL

NPI number 1104923820 Active

Practice location

5707 N 22nd Street, Mental Health Care Inc
Tampa, FL 33610

Fax (813) 272-3766

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW8200 (FL)

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 1104923820

Lisa Colleen Maddocks, LCSW's National Provider Identifier is 1104923820, issued on Sep 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.