Individual provider · Type 1 NPI

Michael Hodson Street, LCSW

Clinical Social Worker · Clearlake, CA

NPI number 1093872095 Active

Practice location

7000B S Center Dr
Clearlake, CA 95422-8131

Call (707) 508-6412 Map

Fax (707) 274-9192

Mailing address

6302 13th Ave
Lucerne, CA 95458

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 18551 (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 1093872095

Michael Hodson Street, LCSW's National Provider Identifier is 1093872095, issued on Jan 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clearlake, CA. The record was last updated on Nov 6, 2012.