Individual provider · Type 1 NPI

Shelley Wisdom-Lazar, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1467725028 Active

Practice location

1267 Rosecrans St Ste E
San Diego, CA 92106-2692

Fax (858) 755-2416

Mailing address

PO Box 3695
Rancho Santa Fe, CA 92067-3695

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW61046 (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 1467725028

Shelley Wisdom-Lazar, LCSW's National Provider Identifier is 1467725028, issued on Feb 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 9, 2021.