Individual provider · Type 1 NPI

Delores Deanne Liston, LCSW

Clinical Social Worker · Statesboro, GA

NPI number 1770080459 Active

Practice location

112 N College St
Statesboro, GA 30458-5309

Mailing address

313 Palomino Path
Statesboro, GA 30458-8712

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW006312 (GA)

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 1770080459

Delores Deanne Liston, LCSW's National Provider Identifier is 1770080459, issued on Apr 10, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Statesboro, GA. The record was last updated on Apr 10, 2018.