Individual provider · Type 1 NPI

Marcy John Dacoste

Clinical Social Worker · San Leandro, CA

NPI number 1760667406 Active

Practice location

25 Chumalia St
San Leandro, CA 94577-4545

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3447 (CA)
Marriage & Family Therapist 106H00000X5617 (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 1760667406

Marcy John Dacoste's National Provider Identifier is 1760667406, issued on Dec 31, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Leandro, CA. The record was last updated on Dec 31, 2007.