Individual provider · Type 1 NPI

Susanna Miller-Pence, LCSW

Clinical Social Worker · San Luis Obispo, CA

NPI number 1265474977 Active

Practice location

Highway 1
San Luis Obispo, CA 93409-8101

Mailing address

California Mens Colony, P.o.box 8101
San Luis Obispo, CA 93409-8101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XR0370701 (NY)
Clinical Social Worker 1041C0700XSW6435 (FL)
Clinical Social Worker Primary 1041C0700XLCSW28260 (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 1265474977

Susanna Miller-Pence, LCSW's National Provider Identifier is 1265474977, issued on Jun 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 24, 2016.