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Ethan C Mandelkern
Clinical Social Worker in Mount Shasta, California
NPI 1023224623

Ethan C Mandelkern is a Clinical Social Worker based in Mount Shasta, CA and is specialized in Clinical. Ethan C Mandelkern practices in Mount Shasta, CA. The NPI Number for Ethan C Mandelkern is 1023224623 and holds a License No. LPCC726 (California).

The current practice location address for Ethan C Mandelkern is 419 Chestnut St, Mount Shasta, CA and can be reached out via phone at 530-918-8348 and via fax at 530-918-5477.

Location: 419 Chestnut St, Mount Shasta, CA, 96067-2918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023224623
Provider Name
Ethan C Mandelkern
Credential
Provider Entity Type
Individual
Gender
Male
Address
419 Chestnut St, Mount Shasta, CA, 96067-2918
Phone Number
530-918-8348
Fax Number
530-918-5477
Provider Enumeration Date
05/14/2007
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
419 Chestnut St
City
Mount Shasta
State
California
Zip
96067-2918
Phone Number
530-918-8348
Fax Number
530-918-5477
person
Provider Business Mailing Address Details
Address
419 Chestnut St
City
Mount Shasta
State
California
Zip
96067-2918
Phone Number
530-918-8348
Fax Number
530-918-5477
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LCSW64679 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LPCC726 (California)
Definition
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.
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