Individual provider · Type 1 NPI

Jennell Maze, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1114090701 Active

Practice location

11080 W Olympic Blvd
Los Angeles, CA 90064-1937

Call (310) 966-6656 Map

Mailing address

31450 Broad Beach Rd.
Malibu, CA 90265

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW 26309 (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 1114090701

Jennell Maze, LCSW's National Provider Identifier is 1114090701, issued on Nov 15, 2006. 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 Jan 11, 2022.