Individual provider · Type 1 NPI

Kelleen Carrie Stainer

Clinical Social Worker · Costa Mesa, CA

NPI number 1053025858 Active

Practice location

555 Anton Blvd Ste 150
Costa Mesa, CA 92626-7036

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW29834 (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 1053025858

Kelleen Carrie Stainer's National Provider Identifier is 1053025858, issued on Jan 6, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Jan 6, 2023.