Individual provider · Type 1 NPI

Patti J. Licona, LCSW

Clinical Social Worker · Ingleside, TX

NPI number 1730296468 Active

Practice location

2063 La Quinta Dr
Ingleside, TX 78362-4301

Fax (361) 775-0270

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22879 (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 1730296468

Patti J. Licona, LCSW's National Provider Identifier is 1730296468, issued on Aug 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ingleside, TX. The record was last updated on Jul 8, 2007.