Individual provider · Type 1 NPI
Trey J. Polesky, LCSW
Clinical Social Worker · Eureka, CA
Practice location
2910 Harris St
Eureka, CA 95503-4811
Fax (877) 761-3132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 150012634 (IL) |
| Clinical Social Worker | 1041C0700X | 11031 (SC) |
| Clinical Social Worker | 1041C0700X | 149015330 (IL) |
| Clinical Social Worker Primary | 1041C0700X | 66343 (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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- Elizabeth Ann Larsen, LCSWClinical Social Worker Eureka, CA NPI 1023155199
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About NPI 1992010193
Trey J. Polesky, LCSW's National Provider Identifier is 1992010193, issued on Aug 11, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eureka, CA. The record was last updated on Sep 17, 2018.