Individual provider · Type 1 NPI

Leisa Jane Vestal, LCSW

Clinical Social Worker · Marion, VA

NPI number 1689417693 Active

Practice location

121 Broad St
Marion, VA 24354-2725

Fax (276) 782-9153

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904016974 (VA)

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 1689417693

Leisa Jane Vestal, LCSW's National Provider Identifier is 1689417693, issued on Jun 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marion, VA. The record was last updated on Jun 17, 2024.