Individual provider · Type 1 NPI

Souphaphone Hagan

Clinical Social Worker · Fresno, CA

NPI number 1205466570 Active

Practice location

496 S Barton Ave
Fresno, CA 93702-2985

Call (559) 860-4422 Map

Mailing address

516 Villa Ave Ste 2
Clovis, CA 93612-0899

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X107193 (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 1205466570

Souphaphone Hagan's National Provider Identifier is 1205466570, issued on Jan 24, 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 11, 2023.