Individual provider · Type 1 NPI

Mimi Degennaro, LCSW

Clinical Social Worker · Novato, CA

NPI number 1376780411 Active

Practice location

250 Bel Marin Keys, C-1
Novato, CA 94949

Call (415) 369-8989 Map

Mailing address

448 Ignacio, #132
Novato, CA 94949

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X18738 (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 1376780411

Mimi Degennaro, LCSW's National Provider Identifier is 1376780411, issued on Jan 12, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Novato, CA. The record was last updated on Aug 12, 2022.