Individual provider · Type 1 NPI

Jorin Bukosky, LCSW

Clinical Social Worker · Menlo Park, CA

NPI number 1992038681 Active

Practice location

795 Willow Rd, (321 / C-128)
Menlo Park, CA 94025

Call (650) 493-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X86083 (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 1992038681

Jorin Bukosky, LCSW's National Provider Identifier is 1992038681, issued on Sep 11, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Menlo Park, CA. The record was last updated on Apr 3, 2019.