Individual provider · Type 1 NPI

Deborah A. Lake, LCSW

Clinical Social Worker · Jackson, MS

NPI number 1760562789 Active

Practice location

248 E Capitol St, 840 Trust Mark Bldg
Jackson, MS 39201-2503

Call (800) 632-6074 Map

Fax (866) 341-7509

Mailing address

PO Box 10414
Largo, FL 33773-0414

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC0798 (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 1760562789

Deborah A. Lake, LCSW's National Provider Identifier is 1760562789, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.