Individual provider · Type 1 NPI

Lisa Donze Jacob, LCSW

Clinical Social Worker · Mandeville, LA

NPI number 1629250261 Active

Practice location

1445 W Causeway Approach
Mandeville, LA 70471-3045

Fax (985) 727-7016

Mailing address

129 Reiher Rd
Mandeville, LA 70471-7262

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X7530 (LA)

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 1629250261

Lisa Donze Jacob, LCSW's National Provider Identifier is 1629250261, issued on Dec 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mandeville, LA. The record was last updated on Feb 18, 2013.