Individual provider · Type 1 NPI

Douglas Wayne Ballagh, L.C.S.W.

Clinical Social Worker · San Luis Obispo, CA

NPI number 1013286624 Active

Practice location

Highway 1
San Luis Obispo, CA 93409-0001

Call (805) 547-7900 Map

Mailing address

2109 Laguna Negra Ln
Arroyo Grande, CA 93420-9653

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS16576 (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 1013286624

Douglas Wayne Ballagh, L.C.S.W.'s National Provider Identifier is 1013286624, issued on Dec 28, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Dec 28, 2011.