Individual provider · Type 1 NPI

Patrick Harry Stafford, LPCC

Clinical Social Worker · Vado, NM

NPI number 1104159466 Active

Practice location

220 Vista Del Rey Dr
Vado, NM 88072-7236

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0096381 (NM)
Clinical Social Worker Primary 1041C0700X13450 (TX)

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…

2 other providers at this address

About NPI 1104159466

Patrick Harry Stafford, LPCC's National Provider Identifier is 1104159466, issued on Sep 17, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vado, NM. The record was last updated on Sep 17, 2009.