Individual provider · Type 1 NPI

Ruth Ann Supranovich, LCSW, EDD

Clinical Social Worker · Los Angeles, CA

NPI number 1104538156 Active

Practice location

669 W 34th St
Los Angeles, CA 90089-0411

Call (213) 821-6804 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19486 (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 1104538156

Ruth Ann Supranovich, LCSW, EDD's National Provider Identifier is 1104538156, issued on Dec 21, 2022. 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 Dec 21, 2022.