Individual provider · Type 1 NPI
Michael Shannon Vaughn, LCSW, ADC III
Clinical Social Worker · San Antonio, TX
Practice location
6997 Crow Rd
San Antonio, TX 78263-6245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15076-0899 (TX) |
| Clinical Social Worker Primary | 1041C0700X | 36728 (TX) |
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 1396028668
Michael Shannon Vaughn, LCSW, ADC III's National Provider Identifier is 1396028668, issued on Sep 23, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Antonio, TX. The record was last updated on Jun 20, 2016.