Individual provider · Type 1 NPI

Katisha Lashaan Everett

Clinical Social Worker · Fairfield, CA

NPI number 1033830690 Active

Practice location

1745 Enterprise Drive, Bldg 2, Suite 1A
Fairfield, CA 94533

Mailing address

1677 Vicksburg Dr
Fairfield, CA 94533-5166

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106761 (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 1033830690

Katisha Lashaan Everett's National Provider Identifier is 1033830690, issued on Sep 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CA. The record was last updated on Sep 12, 2022.