Individual provider · Type 1 NPI

Kim Prodger, LCSW

Clinical Social Worker · Lakewood, CA

NPI number 1114066404 Active

Practice location

4010 Watson Plaza Dr, Suite 285
Lakewood, CA 90712-4037

Call (562) 497-1505 Map

Fax (562) 497-1881

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 12046 (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 1114066404

Kim Prodger, LCSW's National Provider Identifier is 1114066404, issued on Feb 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakewood, CA. The record was last updated on Jul 8, 2007.