Individual provider · Type 1 NPI

Kelly Rodriguez Corley

Clinical Social Worker · Petaluma, CA

NPI number 1265988893 Active

Practice location

204 G St, 204 G St
Petaluma, CA 94954

Mailing address

204 G Street, 204 G Street
Petaluma, CA 94954

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X66000 (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 1265988893

Kelly Rodriguez Corley's National Provider Identifier is 1265988893, issued on Sep 1, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petaluma, CA. The record was last updated on Sep 1, 2016.