Individual provider · Type 1 NPI

Dawn Elaine Ellicott Clinkscale, LMFT

Clinical Social Worker · Lauderdale Lakes, FL

NPI number 1629447966 Active

Practice location

4700 N State Road 7
Lauderdale Lakes, FL 33319-5800

Call (954) 634-8096 Map

Mailing address

4740 N State Road 7
Lauderdale Lakes, FL 33319-5839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMT3549 (FL)
Marriage & Family Therapist 106H00000XMFTMFT00221521 (KY)
Clinical Social Worker Primary 1041C0700XMT3549 (FL)

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 1629447966

Dawn Elaine Ellicott Clinkscale, LMFT's National Provider Identifier is 1629447966, issued on Sep 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Apr 8, 2019.