Individual provider · Type 1 NPI

Maya Anjanette Bohannon

Clinical Social Worker · Fresno, CA

NPI number 1194339457 Active

Practice location

6051 N Fresno St Ste 201
Fresno, CA 93710-5280

Specialties and licenses

Taxonomy	Code	License
Social Worker	104100000X	97392 (CA)
Clinical Social Worker Primary	1041C0700X	125561 (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 1194339457

Maya Anjanette Bohannon's National Provider Identifier is 1194339457, issued on Sep 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Sep 3, 2024.