Individual provider · Type 1 NPI

Tanya Bateza Zodulua, LCSW

Clinical Social Worker · San Pedro, CA

NPI number 1114667243 Active

Practice location

302 W 5th St Unit 102
San Pedro, CA 90731-2738

Mailing address

711 Ligon Creek Loop Apt 305
Wake Forest, NC 27587-4780

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X121421 (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 1114667243

Tanya Bateza Zodulua, LCSW's National Provider Identifier is 1114667243, issued on Mar 29, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Pedro, CA. The record was last updated on Jun 25, 2024.