Individual provider · Type 1 NPI

Patricia Shepard, LICSW

Clinical Social Worker · Fort Polk, LA

NPI number 1558774901 Active

Practice location

Bayne Jones Army Community Hospital, 1585 Third St
Fort Polk, LA 71459

Mailing address

9040 A Jackson Ave 2-2 Ebh Bldg R 1880
Joint Base Lewis Mcchord, WA 98431-0001

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1558774901

Patricia Shepard, LICSW's National Provider Identifier is 1558774901, issued on Jun 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Polk, LA. The record was last updated on Feb 23, 2026.