Individual provider · Type 1 NPI

Krystal Madeline Avila

Clinical Social Worker · Stockton, CA

NPI number 1003386442 Active

Practice location

2495 W March Ln
Stockton, CA 95207-8251

Call (209) 465-1080 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1003386442

Krystal Madeline Avila's National Provider Identifier is 1003386442, issued on Nov 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Dec 14, 2023.