Individual provider · Type 1 NPI

Mary Teegarden, ASW

Clinical Social Worker · Campbell, CA

NPI number 1154613339 Active

Practice location

251 Llewellyn Ave
Campbell, CA 95008-1940

Mailing address

PO Box 708
Woodacre, CA 94973-0708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1154613339

Mary Teegarden, ASW's National Provider Identifier is 1154613339, issued on May 6, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Campbell, CA. The record was last updated on May 6, 2011.