Individual provider · Type 1 NPI

Teshionda Labrea Nickerson, MSW

Clinical Social Worker · Palo Alto, CA

NPI number 1972881431 Active

Practice location

3860 Middlefield Rd
Palo Alto, CA 94303-4716

Fax (650) 494-1243

Mailing address

3860 Middlefield Road
Palo Alto, CA 94303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1972881431

Teshionda Labrea Nickerson, MSW's National Provider Identifier is 1972881431, issued on Aug 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Palo Alto, CA. The record was last updated on Aug 1, 2011.