Individual provider · Type 1 NPI

Stacie Degeneffe, A.M.

Clinical Social Worker · Emeryville, CA

NPI number 1912076746 Active

Practice location

1240 Powell St Ste 2C
Emeryville, CA 94608

Mailing address

2633 Acton St
Berkeley, CA 94702-2348

Other practice locations

  • 378 Van Buren Ave, #210, Oakland, CA 94610-4849 · (510) 384-2088

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X076823 (NY)
Clinical Social Worker Primary 1041C0700XLCS 22418 (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 1912076746

Stacie Degeneffe, A.M.'s National Provider Identifier is 1912076746, issued on Nov 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Emeryville, CA. The record was last updated on Oct 8, 2018.