Individual provider · Type 1 NPI

Gemma Lara de Blas Williams, LCSW

Clinical Social Worker · Fountain Valley, CA

NPI number 1124218409 Active

Practice location

17350 Mount Herrmann St, Suite A
Fountain Valley, CA 92708-4114

Fax (714) 444-1768

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XASW 22065 (CA)
Clinical Social Worker 1041C0700XCSW 6608769-3502 (UT)
Clinical Social Worker Primary 1041C0700XLCSW 26161 (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 1124218409

Gemma Lara de Blas Williams, LCSW's National Provider Identifier is 1124218409, issued on Aug 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fountain Valley, CA. The record was last updated on Aug 2, 2011.