Individual provider · Type 1 NPI

Lakesha Stidum

Clinical Social Worker · Fort Worth, TX

NPI number 1891107660 Active

Practice location

101 New York Ave
Fort Worth, TX 76104-1558

Call (870) 270-7975 Map

Mailing address

3964 Watercourse Dr Apt 1458
Fort Worth, TX 76109-2091

Other practice locations

  • 4301 W Markham St # 783, Little Rock, AR 72205-7101 · (501) 686-8000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1891107660

Lakesha Stidum's National Provider Identifier is 1891107660, issued on May 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 11, 2022.