Individual provider · Type 1 NPI
Myia Cormichel Lane, LCSW
Clinical Social Worker · Gulfport, MS
Practice location
4605 Goldfinch Dr
Gulfport, MS 39501-7218
Mailing address
69 Holly Cir
Gulfport, MS 39501-8629
Other practice locations
- 69 Holly Cir, Gulfport, MS 39501-8629 · (228) 219-5219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | M9748 (MS) |
| Clinical Social Worker Primary | 1041C0700X | C11117 (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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- Susan Elizabeth Pyles, LCSW, BCDClinical Social Worker Gulfport, MS NPI 1013022318
- Juliet LiuzzaClinical Social Worker Gulfport, MS NPI 1023853058
- Jocelyn Gavin-Lane, LCSWClinical Social Worker Gulfport, MS NPI 1033158936
- Lauren Suzanne Zakaras, LCSW, DBHClinical Social Worker Gulfport, MS NPI 1043550304
- Tanika La-Sha WilliamsClinical Social Worker Gulfport, MS NPI 1053258442
About NPI 1831870815
Myia Cormichel Lane, LCSW's National Provider Identifier is 1831870815, issued on Jul 31, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gulfport, MS. The record was last updated on Aug 26, 2024.