Individual provider · Type 1 NPI

Nicole Canonigo

Clinical Social Worker · Oakland, CA

NPI number 1770936338 Active

Practice location

3301 E 12th St
Oakland, CA 94601-3424

Other practice locations

  • 2540 Charleston St, Oakland, CA 94602-2508 · (510) 531-7551

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102598 (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 1770936338

Nicole Canonigo's National Provider Identifier is 1770936338, issued on Jul 19, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Aug 2, 2021.