Individual provider · Type 1 NPI
Marney Wayne Defoore, LCSW
Clinical Social Worker · San Antonio, TX
Practice location
4203 Woodcock Drive, Suite 202
San Antonio, TX 78228-1312
Fax (888) 366-6472
Mailing address
4203 Woodcock Dr, Suite 202
San Antonio, TX 78228-1312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 37462 (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 1669619409
Marney Wayne Defoore, LCSW's National Provider Identifier is 1669619409, issued on Jan 15, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on Oct 13, 2016.