Individual provider · Type 1 NPI

Kelli Mangold, LCSW

Clinical Social Worker · Amarillo, TX

NPI number 1669921029 Active

Practice location

2417 Hobbs Rd Ste 105
Amarillo, TX 79109-1533

Fax (806) 318-3046

Mailing address

PO Box 271
Canyon, TX 79015-0271

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-51139 (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 1669921029

Kelli Mangold, LCSW's National Provider Identifier is 1669921029, issued on Sep 27, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Amarillo, TX. The record was last updated on Mar 16, 2022.