Individual provider · Type 1 NPI

Willie Andrew Pole Jr., LCSW

Clinical Social Worker · Greenville, MS

NPI number 1376196238 Active

Practice location

1502 S Colorado St
Greenville, MS 38703-7219

Mailing address

1717 Fairgrounds Rd Apt I2
Greenville, MS 38703-7839

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC7780 (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 1376196238

Willie Andrew Pole Jr., LCSW's National Provider Identifier is 1376196238, issued on Jul 19, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, MS. The record was last updated on Jul 19, 2019.