Organization · Type 2 NPI

Tahoe Carson Valley Medical Group Inc

Clinical Social Worker · South Lake Tahoe, CA

NPI number 1952883043 Active

Practice location

2209 South Ave
South Lake Tahoe, CA 96150-7037

Fax (530) 542-8780

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Dermatology Physician 207N00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed

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…

3 other providers at this address

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About NPI 1952883043

Tahoe Carson Valley Medical Group Inc's National Provider Identifier is 1952883043, issued on Sep 5, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 5, 2018.