Individual provider · Type 1 NPI

Susan Marie Komure, LCSW

Clinical Social Worker · San Andreas, CO

NPI number 1407930506 Active

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

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X13656 (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.