Individual provider · Type 1 NPI
Mary Johnett Waterman, LCSW
Clinical Social Worker · Shreveport, LA
Practice location
820 Jordan St, Suite 220
Shreveport, LA 71101-4519
Fax (318) 226-8754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2689 (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 1275642928
Mary Johnett Waterman, LCSW's National Provider Identifier is 1275642928, issued on Aug 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.