Individual provider · Type 1 NPI

Theresa Mitchell

Clinical Social Worker · Crescent City, CA

NPI number 1699161653 Active

Practice location

370 9th St
Crescent City, CA 95531-3432

Fax (707) 464-4572

Mailing address

370 9th Street
Crescent City, CA 95531

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27928 (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 1699161653

Theresa Mitchell's National Provider Identifier is 1699161653, issued on Apr 7, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crescent City, CA. The record was last updated on Apr 7, 2015.