Individual provider · Type 1 NPI

Marylou Beban, M.S.W.

Clinical Social Worker · Vallejo, CA

NPI number 1659433720 Active

Practice location

800 Sereno Drive
Vallejo, CA 94589

Mailing address

1074 67th St
Oakland, CA 94608-1212

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS24185 (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 1659433720

Marylou Beban, M.S.W.'s National Provider Identifier is 1659433720, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vallejo, CA. The record was last updated on Nov 29, 2007.