Individual provider · Type 1 NPI

Marcia Kullback

Clinical Social Worker · Camarillo, CA

NPI number 1740416619 Active

Practice location

5284 Adolfo Rd
Camarillo, CA 93012

Other practice locations

  • 975 Flynn Rd, Camarillo, CA 93012-8704 · (805) 388-7740
  • 975 Flynn Rd, Camarillo, CA 93012-8704 · (805) 388-7740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10162 (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 1740416619

Marcia Kullback's National Provider Identifier is 1740416619, issued on Jun 5, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Camarillo, CA. The record was last updated on Jan 22, 2019.