Individual provider · Type 1 NPI

Miguel Porcayo

Clinical Social Worker · South Lake Tahoe, CA

NPI number 1316670649 Active

Practice location

2580 Lake Tahoe Blvd Ste D
South Lake Tahoe, CA 96150-7723

Call (530) 544-2111 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X113962 (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 1316670649

Miguel Porcayo's National Provider Identifier is 1316670649, issued on Jul 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 5, 2023.