Individual provider · Type 1 NPI
George Herman Mangual, LCSW
Clinical Social Worker · San Diego, CA
Practice location
Substance Abuse Counseling Ctr, 4025 Tripoli Avenue, Bldg 14
San Diego, CA 92140-5000
Mailing address
PO Box 80561
San Diego, CA 92138-0561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 2400 (NC) |
| Clinical Social Worker Primary | 1041C0700X | 27419 (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 1770859415
George Herman Mangual, LCSW's National Provider Identifier is 1770859415, issued on Mar 27, 2012. 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 Mar 28, 2012.