Individual provider · Type 1 NPI

Fred Wesley Stephens Jr., L.C.S.W.

Clinical Social Worker · Santa Rosa, CA

NPI number 1811269855 Active

Practice location

144 Stony Point Rd
Santa Rosa, CA 95401-4122

Call (707) 521-4502 Map

Fax (707) 521-4628

Mailing address

7754A Healdsburg Ave
Sebastopol, CA 95472-3352

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15758 (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 1811269855

Fred Wesley Stephens Jr., L.C.S.W.'s National Provider Identifier is 1811269855, issued on Feb 7, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 7, 2012.