Organization · Type 2 NPI

Reproductive Mental Health and Wellness Licensed Clinical Social Worke

Clinical Social Worker · San Diego, CA

NPI number 1497300693 Active

Practice location

11440 W Bernardo Ct Ste 300
San Diego, CA 92127-1644

Fax (858) 367-6160

Mailing address

2570 N 1st St Fl 2
San Jose, CA 95131-1035

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone 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 1497300693

Reproductive Mental Health and Wellness Licensed Clinical Social Worke's National Provider Identifier is 1497300693, issued on Aug 5, 2019. 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 6, 2026.