Individual provider · Type 1 NPI

Angela A. Mouse, LICSW

Clinical Social Worker · Charleston, WV

NPI number 1639108558 Active

Practice location

100 Peyton Way
Charleston, WV 25314

Fax (304) 720-8463

Mailing address

PO Box 7310
Charleston, WV 25356-0310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00080368 (WV)

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 1639108558

Angela A. Mouse, LICSW's National Provider Identifier is 1639108558, issued on Jul 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charleston, WV. The record was last updated on Jul 8, 2007.