Individual provider · Type 1 NPI

Shaquita A. Mallett, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1194283887 Active

Practice location

4624 Nisqually Rd
Jackson, MS 39206-3342

Mailing address

119 Hawthorne Vale
Ridgeland, MS 39157-2345

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7864 (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 1194283887

Shaquita A. Mallett, LCSW's National Provider Identifier is 1194283887, issued on Mar 12, 2019. 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 11, 2021.