Individual provider · Type 1 NPI

Lucille G. Cockerham, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1710072962 Active

Practice location

1500 E Woodrow Wilson
Jackson, MS 39216-5199

Fax (601) 368-4409

Mailing address

454 Forest Ave
Jackson, MS 39206

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC1188 (MS)

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 1710072962

Lucille G. Cockerham, LCSW's National Provider Identifier is 1710072962, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.