Individual provider · Type 1 NPI
Kelli Rose Ezell, LCSW
Clinical Social Worker · Huntington Beach, CA
Practice location
8210 Constantine Dr Apt 25
Huntington Beach, CA 92646-1787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 119424 (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 1124616792
Kelli Rose Ezell, LCSW's National Provider Identifier is 1124616792, issued on Jan 8, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntington Beach, CA. The record was last updated on Aug 8, 2024.