Individual provider · Type 1 NPI
John Tesco Goodson, LCSW
Clinical Social Worker · Colton, CA
Practice location
791 N. Pepper Ave
Colton, CA 92324
Fax (909) 824-0487
Mailing address
791 N. Pepper Ave.
Colton, CA 92324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 3494093501 (UT) |
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 1124149117
John Tesco Goodson, LCSW's National Provider Identifier is 1124149117, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colton, CA. The record was last updated on Nov 5, 2015.