Individual provider · Type 1 NPI

Kristine Tergesen, LCSW

Clinical Social Worker · Petaluma, CA

NPI number 1588147201 Active

Practice location

124 Howard St
Petaluma, CA 94952-2922

Call (707) 774-5896 Map

Mailing address

872 Olive St
Petaluma, CA 94952-4947

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW21934 (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 1588147201

Kristine Tergesen, LCSW's National Provider Identifier is 1588147201, issued on Sep 9, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petaluma, CA. The record was last updated on Dec 22, 2018.