Individual provider · Type 1 NPI

Tina Fukuchi

Clinical Social Worker · Los Angeles, CA

NPI number 1043494867 Active

Practice location

1505 N Edgemont St
Los Angeles, CA 90027-5209

Call (323) 783-4371 Map

Mailing address

2617 Butler Ave
Los Angeles, CA 90064-3711

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW 22233 (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 1043494867

Tina Fukuchi's National Provider Identifier is 1043494867, issued on Dec 28, 2007. 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 Dec 28, 2007.