Individual provider · Type 1 NPI
Mary Catherine Liesenberg, LCSW
Clinical Social Worker · San Diego, CA
Practice location
10155 Pacific Heights Blvd Bldg AZ2ND
San Diego, CA 92121-4214
Mailing address
10155 Pacific Heights Blvd, Bldg Az, 2nd Floor
San Diego, CA 92121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 008817 (CT) |
| Clinical Social Worker Primary | 1041C0700X | 77043 (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 1215288634
Mary Catherine Liesenberg, LCSW's National Provider Identifier is 1215288634, issued on Sep 25, 2012. 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 Jul 21, 2022.