Individual provider · Type 1 NPI

Corenna Marie Mitcham, LCSW

Clinical Social Worker · Eureka, CA

NPI number 1831471184 Active

Practice location

2200 Tydd St
Eureka, CA 95501

Call (707) 441-1624 Map

Fax (707) 441-1253

Mailing address

670 9th Street, Suite 203
Arcata, CA 95521-6249

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000X26524 (CA)
Clinical Social Worker Primary 1041C0700XLCSW26524 (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 1831471184

Corenna Marie Mitcham, LCSW's National Provider Identifier is 1831471184, issued on Sep 13, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eureka, CA. The record was last updated on Jun 14, 2018.