Individual provider · Type 1 NPI
Stanislav Fedechkin, LCSW
Clinical Social Worker · Soquel, CA
Practice location
PO Box 53
Soquel, CA 95073-0053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 137847 (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 1467189845
Stanislav Fedechkin, LCSW's National Provider Identifier is 1467189845, issued on Aug 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Soquel, CA. The record was last updated on Mar 31, 2026.