Individual provider · Type 1 NPI
Peter Cobbold Small, LCSW
Clinical Social Worker · Vallejo, CA
Practice location
146 Rainier Ave Rm 5
Vallejo, CA 94589-1846
Fax (707) 553-5719
Mailing address
555 Pierce St Apt 1003
Albany, CA 94706-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCS 21547 (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 1154483006
Peter Cobbold Small, LCSW's National Provider Identifier is 1154483006, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vallejo, CA. The record was last updated on Jul 8, 2007.