Individual provider · Type 1 NPI

Danielle Spark, LCSW

Clinical Social Worker · Davis, CA

NPI number 1720604259 Active

Practice location

1712 Picasso Ave Ste A
Davis, CA 95618-0546

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	65609 (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 1720604259

Danielle Spark, LCSW's National Provider Identifier is 1720604259, issued on Jun 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davis, CA. The record was last updated on Dec 10, 2020.