Organization · Type 2 NPI

Wellness Source Psychotherapy and Consulting, A Licensed Clinical Social Worker Corporation

Clinical Social Worker · Berkeley, CA

NPI number 1508794207 Active

Practice location

1918 Bonita Ave 2nd Fl
Berkeley, CA 94704

Call (510) 826-3150 Map

Mailing address

2930 Domingo Ave # 1167
Berkeley, CA 94705-2454

Specialties and licenses

TaxonomyCodeLicense
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 1508794207

Wellness Source Psychotherapy and Consulting, A Licensed Clinical Social Worker Corporation's National Provider Identifier is 1508794207, issued on May 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berkeley, CA. The record was last updated on May 12, 2026.