Individual provider · Type 1 NPI

Andrea Lashun Watts, C5643

Clinical Social Worker · Vicksburg, MS

NPI number 1447359757 Active

Practice location

1911 Mission 66 Ste B
Vicksburg, MS 39180-3762

Fax (855) 830-3484

Mailing address

557 Grant Ferry Rd
Brandon, MS 39047

Other practice locations

  • 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 · (601) 362-4471

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM5643 (MS)
Clinical Social Worker Primary 1041C0700XC5643 (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 1447359757

Andrea Lashun Watts, C5643's National Provider Identifier is 1447359757, issued on Sep 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vicksburg, MS. The record was last updated on Oct 14, 2022.