Individual provider · Type 1 NPI

Iridian Vazquez

Clinical Social Worker · Sacramento, CA

NPI number 1407405137 Active

Practice location

811 Grand Ave Ste D
Sacramento, CA 95838-3466

Call (916) 922-9868 Map

Mailing address

6400 Tupelo Dr
Citrus Heights, CA 95621-1741

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Social Worker 104100000X109966 (CA)
Behavior Technician 106S00000XNone listed
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 1407405137

Iridian Vazquez's National Provider Identifier is 1407405137, issued on Sep 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Aug 15, 2023.