Individual provider · Type 1 NPI

Theresa M. Ivey, LCSW

Clinical Social Worker · Lebanon, MO

NPI number 1457714628 Active

Practice location

860 Lynn St
Lebanon, MO 65536-3810

Mailing address

1800 Community
Clinton, MO 64735-8804

Other practice locations

  • 1112 Nolan Trce Ste B, Leesville, LA 71446-3838 · (337) 404-7731
  • 3683 S First St, Jena, LA 71342-6409 · (318) 992-2263
  • 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 · (337) 990-5305
  • 710 Versailles Blvd, Alexandria, LA 71303-2351 · (318) 449-4474

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X11372 (LA)
Clinical Social Worker Primary 1041C0700X2023044583 (MO)

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 1457714628

Theresa M. Ivey, LCSW's National Provider Identifier is 1457714628, issued on Apr 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lebanon, MO. The record was last updated on Apr 22, 2024.