Individual provider · Type 1 NPI

Kristin Avicolli

Clinical Social Worker · Walnut Creek, CA

NPI number 1922540491 Active

Practice location

110 La Casa Via, Suite 205
Walnut Creek, CA 94598-3088

Mailing address

923 Augusta Dr
Moraga, CA 94556-1034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X61309 (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 1922540491

Kristin Avicolli's National Provider Identifier is 1922540491, issued on Nov 15, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Walnut Creek, CA. The record was last updated on Nov 15, 2016.