Organization · Type 2 NPI

Jean Gautreaux LLC

Clinical Social Worker · Palm Bay, FL

NPI number 1336788363 Active

Practice location

4630 Lipscomb St NE Ste 1A
Palm Bay, FL 32905-2940

Mailing address

2257 Whiteside Ave SE
Palm Bay, FL 32909-6044

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1336788363

Jean Gautreaux LLC's National Provider Identifier is 1336788363, issued on Dec 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palm Bay, FL. The record was last updated on Mar 8, 2022.