Organization · Type 2 NPI

Peninsula Counseling and Consulting Inc Ryan Gardner

Clinical Social Worker · Berkeley, CA

NPI number 1265044168 Active

Practice location

3099 Telegraph Ave
Berkeley, CA 94705-2035

Call (650) 644-4454 Map

Fax (650) 644-4456

Mailing address

1259 El Camino Real # 136
Menlo Park, CA 94025-4208

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1265044168

Peninsula Counseling and Consulting Inc Ryan Gardner's National Provider Identifier is 1265044168, issued on Aug 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berkeley, CA. The record was last updated on Aug 17, 2021.