Individual provider · Type 1 NPI

Amalia Maya Lastra

Clinical Social Worker · Modesto, CA

NPI number 1871001024 Active

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Call (209) 605-5543 Map

Mailing address

PO Box 1859
Modesto, CA 95353-1859

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X101067 (CA)
Social Worker 104100000XASW76891 (CA)
Professional Counselor 101YP2500XASW76891 (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 1871001024

Amalia Maya Lastra's National Provider Identifier is 1871001024, issued on Jan 22, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Feb 3, 2022.