Individual provider · Type 1 NPI

Theresa Carroll, LCSW

Clinical Social Worker · La Mesa, CA

NPI number 1245470491 Active

Practice location

5555 Grossmont Center Dr, Behavioral Health
La Mesa, CA 91942-3019

Fax (619) 740-4099

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24976 (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 1245470491

Theresa Carroll, LCSW's National Provider Identifier is 1245470491, issued on Mar 1, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Mesa, CA. The record was last updated on Mar 1, 2009.