Individual provider · Type 1 NPI

Mark Bronnenberg, MSW

Clinical Social Worker · Oakland, CA

NPI number 1780159855 Active

Practice location

6239 College Ave Ste 304
Oakland, CA 94618-1384

Mailing address

576 Martin St
Oakland, CA 94609-1567

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS16497 (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 1780159855

Mark Bronnenberg, MSW's National Provider Identifier is 1780159855, issued on Oct 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Oct 4, 2018.