Individual provider · Type 1 NPI

Mary J. Stavn

Clinical Social Worker · East Palo Alto, CA

NPI number 1639296601 Active

Practice location

2415 University Ave
East Palo Alto, CA 94303-1164

Fax (650) 328-6834

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XASW17637 (CA)
Clinical Social Worker Primary 1041C0700XLCS 26145 (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 1639296601

Mary J. Stavn's National Provider Identifier is 1639296601, issued on Mar 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Palo Alto, CA. The record was last updated on Dec 2, 2011.