Individual provider · Type 1 NPI

Carolyn Grace Cledera, LCSW #76937

Clinical Social Worker · Costa Mesa, CA

NPI number 1114443264 Active

Practice location

301 Victoria St
Costa Mesa, CA 92627-1995

Fax (949) 999-6192

Mailing address

PO Box 10433
Costa Mesa, CA 92627-0161

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X76937 (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 1114443264

Carolyn Grace Cledera, LCSW #76937's National Provider Identifier is 1114443264, issued on Aug 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 26, 2023.