Individual provider · Type 1 NPI

Courtney Tierra Keith, LCSW 111075

Clinical Social Worker · San Diego, CA

NPI number 1770093452 Active

Practice location

5060 Shoreham Pl Ste 330
San Diego, CA 92122-5976

Call (619) 866-0998 Map

Mailing address

189 Wagner St Unit 262
Troutman, NC 28166-9627

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X111075 (TX)
Clinical Social Worker 1041C0700XS.1500130 (OH)
Clinical Social Worker Primary 1041C0700X120004 (CA)
Clinical Social Worker 1041C0700XC013689 (NC)

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 1770093452

Courtney Tierra Keith, LCSW 111075's National Provider Identifier is 1770093452, issued on Oct 6, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Feb 14, 2025.