Individual provider · Type 1 NPI

Bophal Phen

Clinical Social Worker · San Jose, CA

NPI number 1750443594 Active

Practice location

160 E Virginia St, #280
San Jose, CA 95112

Call (408) 287-6200 Map

Fax (408) 998-1535

Mailing address

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29401 (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 1750443594

Bophal Phen's National Provider Identifier is 1750443594, issued on Dec 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Feb 8, 2023.