Individual provider · Type 1 NPI

Marissa Lynn Fitzgibbon

Clinical Social Worker · San Quentin, CA

NPI number 1255526356 Active

Practice location

1 Main St
San Quentin, CA 94964-1000

Mailing address

22505 Woodroe Ave
Hayward, CA 94541-3410

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X29226 (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 1255526356

Marissa Lynn Fitzgibbon's National Provider Identifier is 1255526356, issued on Sep 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Quentin, CA. The record was last updated on Apr 21, 2022.