Individual provider · Type 1 NPI

Mickey Mayo, LCSW

Clinical Social Worker · Pineville, LA

NPI number 1790838142 Active

Practice location

242 W Shamrock Ave.
Pineville, LA 71360

Fax (318) 484-6298

Mailing address

PO Box 5031
Pineville, LA 71361-5031

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2209 (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 1790838142

Mickey Mayo, LCSW's National Provider Identifier is 1790838142, issued on Jan 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pineville, LA. The record was last updated on Aug 8, 2008.