Individual provider · Type 1 NPI

Hector Lara, M.S.W.

Clinical Social Worker · Clearlake, CA

NPI number 1164655247 Active

Practice location

14130 Lakeshore Dr.
Clearlake, CA 95422

Call (707) 272-8707 Map

Fax (707) 995-1847

Mailing address

16170 Main Street
Lower Lake, CA 95457

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Counselor	101Y00000X	29325 (CA)
Social Worker	104100000X	None listed
Clinical Social Worker Primary	1041C0700X	29325 (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 1164655247

Hector Lara, M.S.W.'s National Provider Identifier is 1164655247, issued on Aug 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clearlake, CA. The record was last updated on Aug 14, 2012.