Individual provider · Type 1 NPI
Mary H. Miller, LCSW
Clinical Social Worker · Travis Air Force Base, CA
Practice location
351 Travis Avenue Building 660
Travis Air Force Base, CA 94535
Fax (707) 447-4245
Mailing address
453 Youngsdale Dr
Vacaville, CA 95687-7380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 1556 (NE) |
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…
About NPI 1508119728
Mary H. Miller, LCSW's National Provider Identifier is 1508119728, issued on Oct 25, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Travis Air Force Base, CA. The record was last updated on Oct 25, 2012.