Individual provider · Type 1 NPI
Tina Latrice Johnson Hollman, LCSW
Clinical Social Worker · Soledad, CA
Practice location
Correctional Training Facility, Hwy 101
Soledad, CA 93960
Fax (909) 881-3871
Mailing address
346 Belden Street, P.o. Box 417
Gonzales, CA 93926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | 37005 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 76657 (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 1891047171
Tina Latrice Johnson Hollman, LCSW's National Provider Identifier is 1891047171, issued on Oct 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Soledad, CA. The record was last updated on Mar 7, 2023.