Individual provider · Type 1 NPI

Stacy Louise Kilburn, LCSW, LMSW-C

Clinical Social Worker · San Diego, CA

NPI number 1942554951 Active

Practice location

823 Gateway Center Way
San Diego, CA 92102-4541

Call (619) 515-2400 Map

Fax (619) 269-0906

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801093059 (MI)
Clinical Social Worker Primary 1041C0700X106433 (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 1942554951

Stacy Louise Kilburn, LCSW, LMSW-C's National Provider Identifier is 1942554951, issued on Oct 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 22, 2022.