Individual provider · Type 1 NPI

Andrea Carolyn Bardack, L.C.S.W.

Clinical Social Worker · West Hollywood, CA

NPI number 1205958261 Active

Practice location

8235 Santa Monica Blvd Ste 400
West Hollywood, CA 90046-5970

Call (310) 433-0119 Map

Fax (310) 278-2560

Mailing address

PO Box 18316
Beverly Hills, CA 90209-4316

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCS 21812 (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 1205958261

Andrea Carolyn Bardack, L.C.S.W.'s National Provider Identifier is 1205958261, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Hollywood, CA. The record was last updated on Jul 8, 2007.