Individual provider · Type 1 NPI

Kendra Annette Oliver, L.C.S.W.

Clinical Social Worker · Los Angeles, CA

NPI number 1154755296 Active

Practice location

5777 W Century Blvd Ste 675
Los Angeles, CA 90045-5632

Fax (310) 649-3109

Mailing address

393 E Walnut St Fl 3, Phr Group Provider Enrollment Unit
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC 23017 (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 1154755296

Kendra Annette Oliver, L.C.S.W.'s National Provider Identifier is 1154755296, issued on Aug 26, 2013. 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 Dec 3, 2021.