Organization · Type 2 NPI
Grey Street Therapy, Pc, Licensed Clinical Social Worker
Clinical Social Worker · Glendale, CA
Practice location
3501 Ocean View Blvd
Glendale, CA 91208-1211
Mailing address
PO Box 180
La Canada Flintridge, CA 91012-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1073468849
Grey Street Therapy, Pc, Licensed Clinical Social Worker's National Provider Identifier is 1073468849, issued on Feb 26, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, CA. The record was last updated on Feb 26, 2026.