Individual provider · Type 1 NPI

Venice Angel

Clinical Social Worker · Winchester, CA

NPI number 1063829398 Active

Practice location

32640 Cougar Pass Ct
Winchester, CA 92596-8396

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Clinical Social Worker Primary	1041C0700X	94926 (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 1063829398

Venice Angel's National Provider Identifier is 1063829398, issued on Jul 18, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winchester, CA. The record was last updated on Feb 21, 2024.