Individual provider · Type 1 NPI

Victoria De Lissovoy, LCSW

Clinical Social Worker · Lake Wales, FL

NPI number 1639124100 Active

Practice location

1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333

Call (863) 605-1865 Map

Mailing address

6253 N Lantana Dr, PO Box 7037
Indian Lake Estates, FL 33855-7037

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW6807 (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…

6 other providers at this address

Other clinical social worker providers in Lake Wales

See all in Lake Wales →

About NPI 1639124100

Victoria De Lissovoy, LCSW's National Provider Identifier is 1639124100, issued on May 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Wales, FL. The record was last updated on Jun 4, 2008.