Individual provider · Type 1 NPI

Joan Ellen Fullilove, LCSW, ACSW

Clinical Social Worker · Jennings, LA

NPI number 1366638108 Active

Practice location

1907 Johnson St
Jennings, LA 70546-3627

Fax (337) 824-4947

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3836 (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 1366638108

Joan Ellen Fullilove, LCSW, ACSW's National Provider Identifier is 1366638108, issued on Sep 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jennings, LA. The record was last updated on Sep 14, 2007.