Individual provider · Type 1 NPI
Heather Grant Petanovitch, LCSW
Clinical Social Worker · San Diego, CA
Practice location
3161 Hawthron Street
San Diego, CA 92104-2360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 20517 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 27095 (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 1174698237
Heather Grant Petanovitch, LCSW's National Provider Identifier is 1174698237, issued on Nov 22, 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 Nov 13, 2013.