Individual provider · Type 1 NPI

Viraphone Pravongviengkham

Clinical Social Worker · Santa Ana, CA

NPI number 1083739601 Active

Practice location

1666 N Main St Ste 400
Santa Ana, CA 92701-7417

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 1083739601

Viraphone Pravongviengkham's National Provider Identifier is 1083739601, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Ana, CA. The record was last updated on Aug 17, 2008.