Individual provider · Type 1 NPI

Alice Lynn Bristow

Clinical Social Worker · Modesto, CA

NPI number 1053443812 Active

Practice location

707 14th St
Modesto, CA 95354-2506

Call (209) 525-6041 Map

Fax (209) 525-6034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 23079 (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 1053443812

Alice Lynn Bristow's National Provider Identifier is 1053443812, issued on Mar 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.