Individual provider · Type 1 NPI

Abigail Brianna Sutherlin

Clinical Social Worker · South Lake Tahoe, CA

NPI number 1669095535 Active

Practice location

924 Emerald Bay Rd Ste A2
South Lake Tahoe, CA 96150-6434

Call (909) 292-0240 Map

Mailing address

1881 Business Center Dr
San Bernardino, CA 92408-3465

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Behavior Technician 106S00000XNone listed
Mental Health Counselor 101YM0800X112368 (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 1669095535

Abigail Brianna Sutherlin's National Provider Identifier is 1669095535, issued on May 26, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Oct 28, 2024.