Individual provider · Type 1 NPI

Antonina Jean Chastain, MSW

Clinical Social Worker · Imperial, MO

NPI number 1619050291 Active

Practice location

5460 Mystic Oaks Dr
Imperial, MO 63052-3433

Mailing address

PO Box 58
Lesterville, MO 63654-0058

Specialties and licenses

TaxonomyCodeLicense
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 1619050291

Antonina Jean Chastain, MSW's National Provider Identifier is 1619050291, issued on Oct 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Imperial, MO. The record was last updated on Jul 8, 2007.