Individual provider · Type 1 NPI

Bosseba Kong, LCS 16696

Clinical Social Worker · Modesto, CA

NPI number 1336278993 Active

Practice location

1100 Kansas Ave, Suite A
Modesto, CA 95351-1596

Call (209) 558-7475 Map

Fax (209) 558-4042

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1041C0700X (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 1336278993

Bosseba Kong, LCS 16696's National Provider Identifier is 1336278993, issued on Mar 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.