NPI 1033798624

Jessica L Divine, LMSW

Practitioner Clinical Social Worker Clarinda, IA

Practice location

Address: 220 Essie Davison Dr, Clarinda, IA 51632-2915
Phone: (712) 542-2176

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2020016805 (MO)

Other Social Worker providers in Iowa →

Registry record

NPI: 1033798624
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2021
Record last updated: 2 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.