Individual provider · Type 1 NPI

Ilse M. Eden, LCSW

Clinical Social Worker · Martinez, CA

NPI number 1679515001 Active

Practice location

150 Muir Rd
Martinez, CA 94553-4668

Mailing address

494 Vincente Ave
Berkeley, CA 94707-1520

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL719 (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 1679515001

Ilse M. Eden, LCSW's National Provider Identifier is 1679515001, issued on Jun 11, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Martinez, CA. The record was last updated on Jul 8, 2007.