Individual provider · Type 1 NPI
Randal Joseph Wittry, MSW
Clinical Social Worker · San Diego, CA
Practice location
2900 6th Ave
San Diego, CA 92103-5905
Mailing address
450 A Ave
Coronado, CA 92118-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | ASW 12123 (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 1609944677
Randal Joseph Wittry, MSW's National Provider Identifier is 1609944677, issued on Nov 30, 2006. 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 Jul 8, 2007.