Organization · Type 2 NPI

Agape Center for Troubled Youth

Clinical Social Worker · Alexandria, LA

NPI number 1174991186 Active

Practice location

2013 Macarthur Dr, Bldg 2
Alexandria, LA 71301-3720

Fax (318) 487-6287

Mailing address

610 Webster St
Pineville, LA 71360-6948

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6319 (LA)
Exclusive Provider Organization 302F00000X6319 (LA)

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 1174991186

Agape Center for Troubled Youth's National Provider Identifier is 1174991186, issued on Sep 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alexandria, LA. The record was last updated on Sep 8, 2015.