Individual provider · Type 1 NPI

Kathleen McCormick, LCSW

Clinical Social Worker · Petaluma, CA

NPI number 1225164585 Active

Practice location

6 Petaluma Blvd N, Suite B4
Petaluma, CA 94952-3050

Fax (707) 981-7919

Mailing address

615 Kentucky St
Petaluma, CA 94952-2853

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24602 (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 1225164585

Kathleen McCormick, LCSW's National Provider Identifier is 1225164585, issued on Feb 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petaluma, CA. The record was last updated on Mar 21, 2011.