Individual provider · Type 1 NPI

Gabrielle Banathy-Sullivan, LCSW

Clinical Social Worker · Chico, CA

NPI number 1053925057 Active

Practice location

580 Manzanita Ave Ste 5
Chico, CA 95926-1338

Mailing address

1380 East Ave, Suite 124 #115
Chico, CA 95926

Other practice locations

  • 572 Rio Lindo Ave, Chico, CA 95926-1851 · (530) 891-4400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW116292 (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 1053925057

Gabrielle Banathy-Sullivan, LCSW's National Provider Identifier is 1053925057, issued on Sep 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chico, CA. The record was last updated on Sep 26, 2023.