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TELECONNECT THERAPIES NPI 1871738112


NPI Information

NPI: 1871738112
Provider Name: TELECONNECT THERAPIES
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
22 CANYON TERRACE
AVALON, CA
ZIP 90704
Phone: (310) 850-2960
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TELECONNECT THERAPIES is a clinical social worker in Avalon, CA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. TELECONNECT THERAPIES NPI is 1871738112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 CANYON TERRACE
AVALON, CA
ZIP 90704
Phone: (310) 850-2960

The provider's authorized official is Dawn Marie Sampson .
The authorized official title is Partner and has the following contact phone number (310) 850-2960.

The enumeration date for this NPI number is 12/15/2008 and was last updated on 4/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY21275CALIFORNIANo
21041C0700XSocial WorkerClinicalLCS23139CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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