Individual provider · Type 1 NPI

Shalonda Dallett Carlisle, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1124462965 Active

Practice location

3975 I 55 N Apt T3
Jackson, MS 39216-3726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC5788 (MS)

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 1124462965

Shalonda Dallett Carlisle, LCSW's National Provider Identifier is 1124462965, issued on Apr 23, 2013. 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 23, 2013.