Individual provider · Type 1 NPI
Dominique Marshall
Clinical Social Worker · Lafayette, LA
Practice location
107 Anatole Dr
Lafayette, LA 70508-8179
Mailing address
957 Bergen St
Brooklyn, NY 11216-2906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 16413 (LA) |
| Social Worker | 104100000X | 096388 (NY) |
| Social Worker | 104100000X | 109518 (TX) |
| Clinical Social Worker Primary | 1041C0700X | 094693 (NY) |
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 1992451959
Dominique Marshall's National Provider Identifier is 1992451959, issued on Feb 28, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, LA. The record was last updated on Jan 28, 2023.