Individual provider · Type 1 NPI
Bethany Basinger Coburn, LCSW
Clinical Social Worker · Davis, CA
Practice location
1627 Oak Ave Ste C
Davis, CA 95616-1072
Mailing address
2114 Pollock Ct
Davis, CA 95618-7620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 61298 (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 1912565524
Bethany Basinger Coburn, LCSW's National Provider Identifier is 1912565524, issued on May 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davis, CA. The record was last updated on May 30, 2019.