Individual provider · Type 1 NPI

Ellyn Ann Hazelton, L.C.S.W.

Clinical Social Worker · San Diego, CA

NPI number 1831217876 Active

Practice location

10992 San Diego Mission Rd
San Diego, CA 92108-2444

Fax (619) 641-4111

Mailing address

10280 Gaul Way
Spring Valley, CA 91977-1717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS15525 (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 1831217876

Ellyn Ann Hazelton, L.C.S.W.'s National Provider Identifier is 1831217876, issued on Mar 27, 2007. 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 Jul 8, 2007.