Individual provider · Type 1 NPI

Chris Alan Miciotto, MSW LCSW ACSW

Clinical Social Worker · Shreveport, LA

NPI number 1730212648 Active

Practice location

864 Olive St
Shreveport, LA 71104-2159

Call (318) 222-0759 Map

Fax (318) 221-0216

Mailing address

7505 Camelback Dr
Shreveport, LA 71105-5412

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2914 (LA)

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 1730212648

Chris Alan Miciotto, MSW LCSW ACSW's National Provider Identifier is 1730212648, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.