Individual provider · Type 1 NPI

Mandy Marie Jacquez, LCSW

Clinical Social Worker · Las Cruces, NM

NPI number 1750894622 Active

Practice location

755 S Telshore Blvd, D109
Las Cruces, NM 88011

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC-09154 (NM)

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 1750894622

Mandy Marie Jacquez, LCSW's National Provider Identifier is 1750894622, issued on Nov 14, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Cruces, NM. The record was last updated on Nov 14, 2017.