Individual provider · Type 1 NPI

Tanisha J. Ganub

Clinical Social Worker · Stockton, CA

NPI number 1366066441 Active

Practice location

1803 W March Ln Ste C&d
Stockton, CA 95207-6414

Call (209) 636-5353 Map

Mailing address

PO Box 581014
Elk Grove, CA 95758-0017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1366066441

Tanisha J. Ganub's National Provider Identifier is 1366066441, issued on Jun 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Jun 3, 2020.