Individual provider · Type 1 NPI

Diane M. McKissick, L.C.S.W.-C.

Clinical Social Worker · Leonardtown, MD

NPI number 1669023719 Active

Practice location

25482 Point Lookout Rd Ste 201A
Leonardtown, MD 20650-3896

Call (301) 904-3720 Map

Mailing address

PO Box 1412
Leonardtown, MD 20650-1412

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X07885 (MD)

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 1669023719

Diane M. McKissick, L.C.S.W.-C.'s National Provider Identifier is 1669023719, issued on Sep 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Leonardtown, MD. The record was last updated on Sep 20, 2019.