Individual provider · Type 1 NPI

Tawny Estrella Porter Colagross, MSW

Clinical Social Worker · Oakland, CA

NPI number 1720415912 Active

Practice location

1266 14th St
Oakland, CA 94607-2247

Mailing address

2161 San Antonio Ave, Apt C
Alameda, CA 94501-4304

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Social Worker 104100000XNone listed
Social Worker 104100000X119961 (CA)
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X119961 (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 1720415912

Tawny Estrella Porter Colagross, MSW's National Provider Identifier is 1720415912, issued on Oct 2, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Aug 29, 2024.