Individual provider · Type 1 NPI

Angie Y. Main, LCSW

Clinical Social Worker · Stockton, CA

NPI number 1699193706 Active

Practice location

1031 Waterloo Rd
Stockton, CA 95205-4256

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X00306046 (CA)
Clinical Social Worker Primary 1041C0700X00306046 (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 1699193706

Angie Y. Main, LCSW's National Provider Identifier is 1699193706, issued on Apr 4, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Dec 13, 2023.