Individual provider · Type 1 NPI

John Gault, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1639559164 Active

Practice location

140 Arbor Dr
San Diego, CA 92103-2007

Mailing address

1939 Robinson Ave
San Diego, CA 92104-3224

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X91293 (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 1639559164

John Gault, LCSW's National Provider Identifier is 1639559164, issued on May 29, 2015. 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 Sep 12, 2019.