Individual provider · Type 1 NPI

Terry Lee Coryell Stotler, MSW, BCD

Clinical Social Worker · Edwards, CA

NPI number 1306904875 Active

Practice location

6719 Doolittle Dr
Edwards, CA 93523-2105

Fax (661) 275-4099

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XDP00942520 (WV)

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 1306904875

Terry Lee Coryell Stotler, MSW, BCD's National Provider Identifier is 1306904875, issued on Dec 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Edwards, CA. The record was last updated on Jul 8, 2007.