Individual provider · Type 1 NPI

Kelly D. Prothero, LCSW

Clinical Social Worker · Corte Madera, CA

NPI number 1225112055 Active

Practice location

100 Tamal Plz, Suite 195
Corte Madera, CA 94925-1125

Call (415) 497-8322 Map

Mailing address

321 Laurel Pl
San Rafael, CA 94901-2012

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 26369 (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 1225112055

Kelly D. Prothero, LCSW's National Provider Identifier is 1225112055, issued on Oct 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corte Madera, CA. The record was last updated on May 31, 2011.