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Social Worker
NPI: 1710434279IndividualAccepts Medicare
Specialties, Licenses & Credentials
Counselor
Counselor
Code: 101Y00000X
Mental Health Counselor
Counselor — Mental Health
Code: 101YM0800X
90005(CA)
Clinical Social Worker
Social Worker — Clinical
Code: 1041C0700X
108134(CA)
School Social Worker
Social Worker — School
Code: 1041S0200X
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Social WorkerPrimary
Social Worker
Code: 104100000X
90005(CA)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 3 locations total
- Address
- 1234 EMPIRE ST STE 2200
FAIRFIELD, CA 94533 - Phone
- (650) 372-4080
Quick Facts
- NPI
- 1710434279
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 6
- Locations
- 3
- Years in Practice
- 7
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