Individual provider · Type 1 NPI
Ila Maureen Debose, LCSW
Clinical Social Worker · Fort Smith, AR
Practice location
4943 Old Greenwood Rd, Suite 2
Fort Smith, AR 72903-6923
Fax (479) 242-2653
Mailing address
5410 Free Ferry Rd
Fort Smith, AR 72903-2522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2158-C (AR) |
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 1740477322
Ila Maureen Debose, LCSW's National Provider Identifier is 1740477322, issued on Sep 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Smith, AR. The record was last updated on Apr 9, 2015.