Individual provider · Type 1 NPI

Marian Justine Sullivan Hogan, LCSW

Clinical Social Worker · Morgan Hill, CA

NPI number 1104200781 Active

Practice location

18217 Hale Ave
Morgan Hill, CA 95037-3550

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	64461 (CA)
Clinical Social Worker	1041C0700X	115615 (MA)

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 1104200781

Marian Justine Sullivan Hogan, LCSW's National Provider Identifier is 1104200781, issued on Jul 14, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Morgan Hill, CA. The record was last updated on Aug 25, 2016.