Individual provider · Type 1 NPI

Christina Herzog-Kabisch

Clinical Social Worker · San Dimas, CA

NPI number 1003296039 Active

Practice location

180 Via Verde Ste 200
San Dimas, CA 91773-3993

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XASW62270 (CA)
Clinical Social Worker Primary 1041C0700XLCSW79804 (CA)

Clinical Social Worker: 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 interpers…

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About NPI 1003296039

Christina Herzog-Kabisch's National Provider Identifier is 1003296039, issued on Jun 4, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Dimas, CA. The record was last updated on Apr 12, 2024.