Individual provider · Type 1 NPI

Mary Mulligan, LCSW

Clinical Social Worker · Felton, CA

NPI number 1194922773 Active

Practice location

182 Russell Ave
Felton, CA 95018-9126

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS11682 (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 1194922773

Mary Mulligan, LCSW's National Provider Identifier is 1194922773, issued on Jun 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Felton, CA. The record was last updated on Jul 8, 2007.