San Diego Unified School District

Clinical Social Worker · San Diego, CA

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At a glance

4150 Ute Dr, San Diego, CA 92117-5853

NPPES record updated Jun 4, 2024. Public records can lag behind changes at a practice.

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Practice location

4150 Ute Dr
San Diego, CA 92117-5853
Professional details: NPI, taxonomy & registry record
NPI1003930637
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Mar 19, 2007
Record updated
Jun 4, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Specialty details in registry

101YS0200X

Specialty details in registry

103TC0700X

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

1041S0200X

Specialty details in registry

106H00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4150 Ute Dr
San Diego, CA 92117-5853
Phone
(858) 283-8941
Fax
(858) 283-8946
Mailing address
4150 UTE DR

SAN DIEGO, CA 921175853
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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