Individual provider · Type 1 NPI

Rita Phetmixay

Clinical Social Worker · Los Angeles, CA

NPI number 1104227396 Active

Practice location

470 E 3rd St Ste C
Los Angeles, CA 90013-1630

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X87669 (CA)
Clinical Social Worker Primary 1041C0700X109144 (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 1104227396

Rita Phetmixay's National Provider Identifier is 1104227396, issued on Sep 8, 2014. 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 Jul 25, 2022.