Individual provider · Type 1 NPI

Moukdavanh Siackasorn

Clinical Social Worker · Pittsburg, CA

NPI number 1477098333 Active

Practice location

2311 Loveridge Rd
Pittsburg, CA 94565-5117

Call (925) 431-2654 Map

Fax (925) 431-2644

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X94227 (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 1477098333

Moukdavanh Siackasorn's National Provider Identifier is 1477098333, issued on Jan 3, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pittsburg, CA. The record was last updated on Mar 3, 2020.