Individual provider · Type 1 NPI

Mario Walther Victor, MSW

Clinical Social Worker · Fremont, CA

NPI number 1093853103 Active

Practice location

39650 Liberty St
Fremont, CA 94538-2223

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Other practice locations

  • 19000 Homestead Rd Bldg 2, Cupertino, CA 95014-0712 · (408) 366-4451

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20292 (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 1093853103

Mario Walther Victor, MSW's National Provider Identifier is 1093853103, issued on Feb 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fremont, CA. The record was last updated on May 2, 2023.