Individual provider · Type 1 NPI

Tanya Patimeteeporn, MSW

Clinical Social Worker · Victorville, CA

NPI number 1841786498 Active

Practice location

14075 Hesperia Rd Ste 101
Victorville, CA 92395-4500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X83181 (CA)
Social Worker 104100000X83181 (CA)
Clinical Social Worker Primary 1041C0700X101111 (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 1841786498

Tanya Patimeteeporn, MSW's National Provider Identifier is 1841786498, issued on Jul 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Victorville, CA. The record was last updated on Apr 12, 2022.