Individual provider · Type 1 NPI

Kelly Manuel, LCSW

Clinical Social Worker · Bastrop, TX

NPI number 1396401212 Active

Practice location

111 N Hasler Blvd Ste 219
Bastrop, TX 78602-3984

Mailing address

157 Lisa Ln Unit B
Bastrop, TX 78602-5782

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X67396 (TX)

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 1396401212

Kelly Manuel, LCSW's National Provider Identifier is 1396401212, issued on Nov 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bastrop, TX. The record was last updated on Mar 31, 2022.