Individual provider · Type 1 NPI
Larissa Anne Pendergraft, LCSW
Clinical Social Worker · Windsor, CA
Practice location
9240 Old Redwood Hwy Ste 267
Windsor, CA 95492-9348
Mailing address
1207 S Fitch Mountain Rd
Healdsburg, CA 95448-4612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 24712 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 63962 (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 1932404902
Larissa Anne Pendergraft, LCSW's National Provider Identifier is 1932404902, issued on Jan 21, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Windsor, CA. The record was last updated on Jul 19, 2022.