Individual provider · Type 1 NPI

Heather Waddle

Clinical Social Worker · Represa, CA

NPI number 1457763518 Active

Practice location

100 Prison Rd
Represa, CA 95671-3000

Mailing address

PO Box 290002
Represa, CA 95671-0002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X61475 (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 1457763518

Heather Waddle's National Provider Identifier is 1457763518, issued on May 23, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Represa, CA. The record was last updated on May 4, 2022.