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Ms. Angellun Vanessa Wilder, LCSW
Military Health Care Provider in Shreveport, Louisiana
NPI 1346416096

Angellun Vanessa Wilder is a Military Health Care Provider based in Shreveport, LA. Angellun Vanessa Wilder practices in Shreveport, LA and has the professional credentials of LCSW. The NPI Number for Angellun Vanessa Wilder is 1346416096 and holds a License No. 2176 (Louisiana).

The current practice location address for Angellun Vanessa Wilder is 3004 Knight St Bldg 6, Shreveport, LA and can be reached out via phone at 318-603-6874. You can also correspond with Angellun Vanessa Wilder through the mailing address at 4443 PINES RD, SHREVEPORT, LA - 71119-8505 (mailing address contact number: 318-631-3792).

Location: 3004 Knight St Bldg 6, Shreveport, LA, 71119-8505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346416096
Provider Name
Angellun Vanessa Wilder
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3004 Knight St Bldg 6, Shreveport, LA, 71119-8505
Phone Number
318-603-6874
Fax Number
Provider Enumeration Date
05/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3004 Knight St Bldg 6
City
Shreveport
State
Louisiana
Zip
71105-2502
Phone Number
318-603-6874
Fax Number
person
Provider Business Mailing Address Details
Address
3004 Knight St Bldg 6
City
Shreveport
State
Louisiana
Zip
71105-2502
Phone Number
318-603-6874
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
2176 (Louisiana)
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
2176 (Louisiana)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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