Individual provider · Type 1 NPI

Charles William Kidwell, LCSW

Clinical Social Worker · Sacramento, CA

NPI number 1043334980 Active

Practice location

2008 Morse Ave
Sacramento, CA 95825-2135

Call (916) 973-5300 Map

Mailing address

14950 S Ponderosa Way
Grass Valley, CA 95949-7627

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X09093 (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 1043334980

Charles William Kidwell, LCSW's National Provider Identifier is 1043334980, issued on Mar 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.