Individual provider · Type 1 NPI

Melissa Gisell Fernandez Chisholm, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1073632709 Active

Practice location

12099 W Washington Blvd, Suite 200
Los Angeles, CA 90066-5882

Mailing address

12099 W. Washington Blvd, Suite 200
Los Angeles, CA 90066-3345

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X24925 (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 1073632709

Melissa Gisell Fernandez Chisholm, LCSW's National Provider Identifier is 1073632709, issued on Mar 27, 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 Jan 31, 2013.