Individual provider · Type 1 NPI

Theodore Long

Clinical Social Worker · Vacaville, CA

NPI number 1992045454 Active

Practice location

2100 Peabody Rd
Vacaville, CA 95687-6639

Call (707) 451-0182 Map

Mailing address

PO Box 4000
Vacaville, CA 95696-4000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 25432 (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 1992045454

Theodore Long's National Provider Identifier is 1992045454, issued on Feb 20, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vacaville, CA. The record was last updated on Feb 20, 2013.