Individual provider · Type 1 NPI

Tisa Grumm, LCSW

Clinical Social Worker · Fremont, CA

NPI number 1215007901 Active

Practice location

40950 Chapel Way
Fremont, CA 94538-4236

Call (510) 432-7516 Map

Fax (510) 226-6352

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20283 (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 1215007901

Tisa Grumm, LCSW's National Provider Identifier is 1215007901, issued on Nov 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fremont, CA. The record was last updated on Jul 11, 2011.