Individual provider · Type 1 NPI

Marly J. McCormack, LMSW

Clinical Social Worker · Gulfport, MS

NPI number 1750463493 Active

Practice location

12231 Ashley Dr # A
Gulfport, MS 39503-2775

Fax (228) 832-2431

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XM4678 (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 1750463493

Marly J. McCormack, LMSW's National Provider Identifier is 1750463493, issued on Oct 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Jul 8, 2007.