DEPARTMENT OF HEALTH AND HOSPITALS

Clinical Social Worker · RUSTON, LA

Organization Active NPI 1962468819

Taxonomy & licensure

Specialty	Code	Primary	License	State
Clinical Social Worker	1041C0700X	✓	LCSW 4518	LA
Addiction (Substance Use Disorder) Counselor	101YA0400X		880	LA
Addiction (Substance Use Disorder) Counselor	101YA0400X		CAC1223	LA
Addiction (Substance Use Disorder) Counselor	101YA0400X		RAC1224	LA
Multi-Specialty Clinic/Center	261QM1300X		MD010285	LA

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.