Individual provider · Type 1 NPI

Marlo Cornejo, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1013007913 Active

Practice location

1224 Vine St
Los Angeles, CA 90038-1612

Call (323) 769-6100 Map

Mailing address

406 N Avenue 66 Apt 3
Los Angeles, CA 90042-2956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS21761 (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 1013007913

Marlo Cornejo, LCSW's National Provider Identifier is 1013007913, issued on Oct 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.