Individual provider · Type 1 NPI

Louis Theodore Canterbury Ii, MSW, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1174540157 Active

Practice location

Va San Diego, 3350 La Jolla Village Dr, Spid S 118
San Diego, CA 92161-0001

Fax (858) 552-4311

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCS 23612 (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 1174540157

Louis Theodore Canterbury Ii, MSW, LCSW's National Provider Identifier is 1174540157, issued on Jul 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 11, 2007.