Individual provider · Type 1 NPI

Rebeca Karina Grande-White

Clinical Social Worker · Los Angeles, CA

NPI number 1124265061 Active

Practice location

1224 Vine St
Los Angeles, CA 90038-1612

Mailing address

PO Box 27571
Los Angeles, CA 90027-0571

Other practice locations

  • 14659 Olive View Dr, Sylmar, CA 91342-1652 · (323) 599-3287

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW90215 (CA)
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW129658 (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 1124265061

Rebeca Karina Grande-White's National Provider Identifier is 1124265061, issued on Jan 14, 2009. 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 Aug 26, 2025.