Individual provider · Type 1 NPI

Mallory Ruth Axelrod, LCSW

Clinical Social Worker · Cerritos, CA

NPI number 1073979936 Active

Practice location

10929 South St Ste 214B
Cerritos, CA 90703-5374

Mailing address

5994 Myrtle Ave
Long Beach, CA 90805-3515

Other practice locations

  • 9047 Florence Ave Ste I, Downey, CA 90240-3400 · (224) 619-2640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X149.017634 (IL)
Clinical Social Worker 1041C0700XASW69967 (CA)
Clinical Social Worker Primary 1041C0700XLCSW72307 (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…

3 other providers at this address

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About NPI 1073979936

Mallory Ruth Axelrod, LCSW's National Provider Identifier is 1073979936, issued on Jan 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cerritos, CA. The record was last updated on Nov 20, 2019.