Individual provider · Type 1 NPI
Ellen L.h. Malone, LISW, LCSW, ACSW
Clinical Social Worker · Gautier, MS
Practice location
1408 Highway 90, Suite 2
Gautier, MS 39553-5456
Fax (228) 497-6594
Mailing address
PO Box 1512
Gautier, MS 39553-0019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000001199 (TN) |
| Clinical Social Worker | 1041C0700X | I-0003297 (OH) |
| Clinical Social Worker Primary | 1041C0700X | C2571 (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 1487659397
Ellen L.h. Malone, LISW, LCSW, ACSW's National Provider Identifier is 1487659397, issued on Jun 16, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gautier, MS. The record was last updated on Aug 29, 2011.