Individual provider · Type 1 NPI

Lisa Ayn Tange, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1043032691 Active

Practice location

11515 El Camino Real Ste 100
San Diego, CA 92130-3034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X20759 (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 1043032691

Lisa Ayn Tange, LCSW's National Provider Identifier is 1043032691, issued on Oct 25, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Feb 12, 2025.