Individual provider · Type 1 NPI

Gena H. Ninivaggio, LCSW

Clinical Social Worker · Vacaville, CA

NPI number 1700011202 Active

Practice location

1600 California Dr
Vacaville, CA 95687

Call (707) 448-6841 Map

Fax (707) 453-7015

Mailing address

PO Box 5401
Walnut Creek, CA 94596-1401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS21793 (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 1700011202

Gena H. Ninivaggio, LCSW's National Provider Identifier is 1700011202, issued on May 27, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vacaville, CA. The record was last updated on Aug 9, 2011.