Organization · Type 2 NPI

JLSM License Clinical Social Worker, Inc.

Clinical Social Worker · Lakewood, CA

NPI number 1174406482 Active

Practice location

5150 Candlewood St Ste 13A
Lakewood, CA 90712-1927

Mailing address

10820 Alondra Blvd # 1092
Cerritos, CA 90703-1502

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1174406482

JLSM License Clinical Social Worker, Inc.'s National Provider Identifier is 1174406482, issued on Jul 26, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakewood, CA. The record was last updated on Oct 24, 2026.