Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Desselles, LCSW

Individual provider Clinical Social Worker · NPI 1083905285

Lisa Marie Desselles, LCSW is a Clinical Social Worker in Jackson, Mississippi. Licensed in Louisiana. Registered with an NPI since 2011.

Licensed in
LA
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4925 (LA)

Record details

NPI number1083905285
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 22, 2011
Last updated in NPPESApril 22, 2011

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