Individual provider · Type 1 NPI

Latonia Mechella Wade, LCSW

Clinical Social Worker · Midlothian, TX

NPI number 1649580960 Active

Practice location

4614 Rawhide Trail
Midlothian, TX 76065

Mailing address

1301 E Debbie Ln Ste 102
Mansfield, TX 76063-3376

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X42331 (TX)
Case Manager/Care Coordinator 171M00000XS42331 (TX)

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 1649580960

Latonia Mechella Wade, LCSW's National Provider Identifier is 1649580960, issued on Oct 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Midlothian, TX. The record was last updated on Dec 21, 2023.