Individual provider · Type 1 NPI

Brandon Waugh, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1619459187 Active

Practice location

1501 Imperial Ave
San Diego, CA 92101-7638

Mailing address

PO Box 928532
San Diego, CA 92192-8532

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X83457 (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 1619459187

Brandon Waugh, LCSW's National Provider Identifier is 1619459187, issued on Aug 31, 2018. 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 Aug 31, 2018.