Organization · Type 2 NPI

Impact Behavioral Health and Recovery Care Corp

Clinical Social Worker · Fresno, CA

NPI number 1043890122 Active

Practice location

1616 W Shaw Ave Ste B2
Fresno, CA 93711-3513

Call (559) 293-3174 Map

Fax (559) 570-0194

Mailing address

1616 W Shaw Ave Ste B4
Fresno, CA 93711-3513

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Psychologist	103T00000X	None listed
Clinical Social Worker Primary	1041C0700X	None listed
Marriage & Family Therapist	106H00000X	None listed
Licensed Psychiatric Technician	167G00000X	None 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 1043890122

Impact Behavioral Health and Recovery Care Corp's National Provider Identifier is 1043890122, issued on Apr 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Apr 12, 2021.