Individual provider · Type 1 NPI
Andrea Guadalupe Perez Portillo
Clinical Social Worker · Hercules, CA
Practice location
1375 Sycamore Ave Apt 211
Hercules, CA 94547-5519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | 74204 (CA) |
| Social Worker | 104100000X | 74204 (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 74204 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 96134 (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 1639624489
Andrea Guadalupe Perez Portillo's National Provider Identifier is 1639624489, issued on Aug 22, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hercules, CA. The record was last updated on Feb 20, 2024.