Individual provider · Type 1 NPI
Mattie Lee Sango, ASW
Clinical Social Worker · Fairfield, CA
Practice location
1745 Enterprise Dr # Ms 2-230, Bldg. 2, Ste. 2A
Fairfield, CA 94533-5801
Fax (707) 399-4999
Mailing address
275 Beck Ave, MD5-200
Fairfield, CA 94533-6804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 17098 (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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- Jennifer Mikell Lincoln, LCSWClinical Social Worker Fairfield, CA NPI 1003445008
- Rosanna Polanco-Fierro, ASWClinical Social Worker Fairfield, CA NPI 1003530072
- Nancy Sandoval-MortonClinical Social Worker Fairfield, CA NPI 1013491505
- Cynthia Lynn Bott, LCSWClinical Social Worker Fairfield, CA NPI 1023178308
- Patttie M. FleishmanClinical Social Worker Fairfield, CA NPI 1023179637
About NPI 1285796102
Mattie Lee Sango, ASW's National Provider Identifier is 1285796102, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.