Individual provider · Type 1 NPI
Shadaria Rene Prince, LCSW
Clinical Social Worker · Fresno, CA
Practice location
2600 Ventura St Ste 110
Fresno, CA 93721-3041
Mailing address
4183 W Weldon Ave
Fresno, CA 93722-6893
Other practice locations
- 1788 Celeste Ave, Clovis, CA 93611-2069 · (559) 243-7002
- 2291 N Hazel Ave, Fresno, CA 93722-5562 · (559) 243-7002
- 3138 W Barstow Ave, Fresno, CA 93711-2603 · (559) 243-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | ASW67543 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCSW94800 (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…
Another provider at this address
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About NPI 1669872578
Shadaria Rene Prince, LCSW's National Provider Identifier is 1669872578, issued on Aug 27, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Jul 7, 2023.