Individual provider · Type 1 NPI
Susan Marie Komure, LCSW
Clinical Social Worker · San Andreas, CO
Practice location
265 W. St. Charles St, Ste #3
San Andreas, CO 95249
Fax (209) 755-1430
Mailing address
PO Box 779
Stockton, CA 95201-0779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 13656 (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…
About NPI 1407930506
Susan Marie Komure, LCSW's National Provider Identifier is 1407930506, issued on Oct 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Andreas, CO. The record was last updated on Jul 8, 2007.