Individual provider · Type 1 NPI

Vivianna Gillmon

Clinical Social Worker · Ventura, CA

NPI number 1265787220 Active

Practice location

5740 Ralston St
Ventura, CA 93003-6051

Call (805) 289-3100 Map

Mailing address

6450 Webster St, Apartment #399
Ventura, CA 93003-4473

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 1265787220

Vivianna Gillmon's National Provider Identifier is 1265787220, issued on Jul 16, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ventura, CA. The record was last updated on Jul 16, 2012.