Individual provider · Type 1 NPI

Kiley P. Cedotal, LCSW-BACS, FACHE

Clinical Social Worker · Ponchatoula, LA

NPI number 1194537597 Active

Practice location

532 Ponderosa Dr
Ponchatoula, LA 70454-9428

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6181 (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 1194537597

Kiley P. Cedotal, LCSW-BACS, FACHE's National Provider Identifier is 1194537597, issued on Jan 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponchatoula, LA. The record was last updated on Jan 22, 2025.