Individual provider · Type 1 NPI

Ailleth Vaicy Tom, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1164780482 Active

Practice location

333 S Beaudry Ave, 29th Floor
Los Angeles, CA 90017-1466

Call (213) 241-2174 Map

Fax (213) 241-3305

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 28725 (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 1164780482

Ailleth Vaicy Tom, LCSW's National Provider Identifier is 1164780482, issued on Apr 24, 2012. 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 Jun 20, 2013.