Individual provider · Type 1 NPI

Jennifer Miyamoto

Clinical Social Worker · Los Angeles, CA

NPI number 1083731459 Active

Practice location

4211 Avalon Blvd
Los Angeles, CA 90011-5622

Call (323) 432-5185 Map

Fax (323) 432-5086

Mailing address

1929 E Appleton St Apt 6
Long Beach, CA 90802-3923

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26558 (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 1083731459

Jennifer Miyamoto's National Provider Identifier is 1083731459, issued on Mar 23, 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 Nov 10, 2011.