Individual provider · Type 1 NPI

Mary E. Tysor-Tetley, LCSW

Clinical Social Worker · Redlands, CA

NPI number 1477543643 Active

Practice location

339 Cajon St, Ste B
Redlands, CA 92373-5901

Fax (909) 801-8070

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	T14553 (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 1477543643

Mary E. Tysor-Tetley, LCSW's National Provider Identifier is 1477543643, issued on Oct 27, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redlands, CA. The record was last updated on Jul 8, 2007.