Individual provider · Type 1 NPI

Austin Kevin Lillenberg, ASW

Clinical Social Worker · Santa Maria, CA

NPI number 1639810054 Active

Practice location

2801 Santa Maria Way
Santa Maria, CA 93455-2118

Fax (805) 938-9207

Mailing address

2050 S Blosser Rd
Santa Maria, CA 93458-7310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW115424 (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 1639810054

Austin Kevin Lillenberg, ASW's National Provider Identifier is 1639810054, issued on Apr 7, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Maria, CA. The record was last updated on Aug 26, 2023.