Individual provider · Type 1 NPI

Susan Ja Badra

Clinical Social Worker · Eureka, CA

NPI number 1073030649 Active

Practice location

310 3rd St Ste C
Eureka, CA 95501-0587

Mailing address

PO Box 2077
Ukiah, CA 95482-2077

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X111642 (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 1073030649

Susan Ja Badra's National Provider Identifier is 1073030649, issued on Aug 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eureka, CA. The record was last updated on Dec 22, 2022.