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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

Quick Facts

NPI
1710434279
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
6
Locations
3
Years in Practice
7

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