Organization · Type 2 NPI

Phoenix Collective Inc

Clinical Social Worker · San Diego, CA

NPI number 1477429439 Active

Practice location

7456 Mission Gorge Road, Unit 165
San Diego, CA 92120-1301

Call (619) 535-0773 Map

Fax (619) 535-7055

Mailing address

344 N Central Ave Apt 9
Medford, OR 97501-5952

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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 1477429439

Phoenix Collective Inc's National Provider Identifier is 1477429439, issued on Oct 15, 2025. 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 Oct 15, 2025.