Individual provider · Type 1 NPI

Glen Conner, LCSW

Clinical Social Worker · Stockton, CA

NPI number 1124148481 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Mailing address

2321 Rockingham Cir
Lodi, CA 95242-4554

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 12223 (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 1124148481

Glen Conner, LCSW's National Provider Identifier is 1124148481, issued on Mar 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.