Individual provider · Type 1 NPI

John Michael Maddock, LCSW

Clinical Social Worker · Seaside, CA

NPI number 1053351072 Active

Practice location

3401 Engineer Ln
Seaside, CA 93955-7200

Call (831) 883-3805 Map

Fax (831) 883-3860

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 17055 (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 1053351072

John Michael Maddock, LCSW's National Provider Identifier is 1053351072, issued on Jun 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Seaside, CA. The record was last updated on Jul 8, 2007.