Individual provider · Type 1 NPI

Jack De la Torre, ASW

Clinical Social Worker · Santa Cruz, CA

NPI number 1295939932 Active

Practice location

1400 Emeline Ave Bldg K
Santa Cruz, CA 95060-1976

Call (831) 454-4900 Map

Fax (831) 454-4916

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW14280 (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 1295939932

Jack De la Torre, ASW's National Provider Identifier is 1295939932, issued on Jun 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 8, 2007.