Individual provider · Type 1 NPI

Jimmy Dean Van Tassel, LCSW

Clinical Social Worker · Modesto, CA

NPI number 1699831214 Active

Practice location

1320 Standiford Ave
Modesto, CA 95350-0726

Call (209) 557-5765 Map

Mailing address

1613 E Orangeburg Ave
Modesto, CA 95355-3236

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 17803 (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 1699831214

Jimmy Dean Van Tassel, LCSW's National Provider Identifier is 1699831214, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.