Individual provider · Type 1 NPI

Jorge Canseco, LCSW

Clinical Social Worker · Huntington Park, CA

NPI number 1114489804 Active

Practice location

2677 Zoe Ave Ste 120
Huntington Park, CA 90255-6995

Fax (323) 589-1805

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8592 (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 1114489804

Jorge Canseco, LCSW's National Provider Identifier is 1114489804, issued on Apr 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntington Park, CA. The record was last updated on Apr 2, 2019.