Individual provider · Type 1 NPI

Theppharack Ad Sounthala, MSW

Clinical Social Worker · Modesto, CA

NPI number 1083745780 Active

Practice location

251 E Hackett Rd
Modesto, CA 95358-9415

Fax (209) 558-1075

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW26225 (CA)
Professional Counselor	101YP2500X	LCS 26225 (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 1083745780

Theppharack Ad Sounthala, MSW's National Provider Identifier is 1083745780, issued on Mar 7, 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 Jun 2, 2022.