Individual provider · Type 1 NPI

Stacy Elise Vanbruggen-O'Rourke, LCSW

Clinical Social Worker · Fresno, CA

NPI number 1689702649 Active

Practice location

4441 E Kings Canyon Rd
Fresno, CA 93702-3604

Mailing address

6311 N Gilroy Ave
Fresno, CA 93722-3220

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X22237 (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 1689702649

Stacy Elise Vanbruggen-O'Rourke, LCSW's National Provider Identifier is 1689702649, issued on Mar 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Aug 5, 2021.