Individual provider · Type 1 NPI

Laura Jo Vacheresse, LCSW

Clinical Social Worker · Madisonville, TN

NPI number 1144610304 Active

Practice location

4798 New Highway 68
Madisonville, TN 37354

Call (423) 442-2622 Map

Mailing address

PO Box 278
Madisonville, TN 37354-0278

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X000623914 (TN)
Clinical Social Worker Primary 1041C0700X0000006584 (TN)

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 1144610304

Laura Jo Vacheresse, LCSW's National Provider Identifier is 1144610304, issued on Jan 27, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madisonville, TN. The record was last updated on Oct 11, 2018.