Individual provider · Type 1 NPI
Dominique Paiste-Ponder
Clinical Social Worker · Oakland, CA
Practice location
2828 Ford Street
Oakland, CA 94601
Mailing address
700 Adeline St
Oakland, CA 94607-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 85739 (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 1801497904
Dominique Paiste-Ponder's National Provider Identifier is 1801497904, issued on Nov 4, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Jun 6, 2023.