Individual provider · Type 1 NPI

Jason Kyle Madigan, LCSW

Clinical Social Worker · Gulfport, MS

NPI number 1376587915 Active

Practice location

127 Gary St
Gulfport, MS 39503-3503

Call (228) 523-5186 Map

Fax (228) 523-4384

Mailing address

22247 Evangeline Dr
Pass Christian, MS 39571-5304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC6895 (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 1376587915

Jason Kyle Madigan, LCSW's National Provider Identifier is 1376587915, issued on Jun 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Jul 8, 2007.