Individual provider · Type 1 NPI

Elise Erin Breen, LCSW, LCADC

Clinical Social Worker · Travis Afb, CA

NPI number 1710049796 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Call (707) 423-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00120300 (NJ)
Clinical Social Worker 1041C0700X44SC05289300 (NJ)
Clinical Social Worker Primary 1041C0700XLCSW79555 (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 1710049796

Elise Erin Breen, LCSW, LCADC's National Provider Identifier is 1710049796, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Travis Afb, CA. The record was last updated on Jan 9, 2026.