Individual provider · Type 1 NPI

Austin Harebottle

Clinical Social Worker · Fairfield, CA

NPI number 1477475416 Active

Practice location

530 Union Ave
Fairfield, CA 94533-6367

Call (707) 784-7100 Map

Mailing address

2201 Shoreline Drive PO Box 1471
Alameda, CA 94501-6200

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X137257 (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 1477475416

Austin Harebottle's National Provider Identifier is 1477475416, issued on Jul 29, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CA. The record was last updated on Jul 29, 2026.