Individual provider · Type 1 NPI

Amanda M. Cosio-Bognuda-Corcoran, LCSW

Clinical Social Worker · San Luis Obispo, CA

NPI number 1497062236 Active

Practice location

2180 Johnson Ave
San Luis Obispo, CA 93401-4513

Call (805) 781-4997 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XASW 64535 (CA)
Clinical Social Worker Primary 1041C0700X82927 (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 1497062236

Amanda M. Cosio-Bognuda-Corcoran, LCSW's National Provider Identifier is 1497062236, issued on Aug 31, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 21, 2018.