Individual provider · Type 1 NPI

Anna Ponder, LCSW103420

Clinical Social Worker · San Diego, CA

NPI number 1386159267 Active

Practice location

995 Gateway Center Way Ste 300
San Diego, CA 92102-4550

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW85691 (CA)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X103420 (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 1386159267

Anna Ponder, LCSW103420's National Provider Identifier is 1386159267, issued on Dec 13, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 21, 2021.