Individual provider · Type 1 NPI

Theresa Lavelle Earthly, LCSW

Clinical Social Worker · Alexandria, LA

NPI number 1780988097 Active

Practice location

1217 Willow Glen River Rd
Alexandria, LA 71302-5454

Fax (318) 487-0525

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2476 (LA)

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 1780988097

Theresa Lavelle Earthly, LCSW's National Provider Identifier is 1780988097, issued on Dec 29, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alexandria, LA. The record was last updated on Dec 29, 2010.