Individual provider · Type 1 NPI
Roberta E. Mirisch, L.C.S.W.
Clinical Social Worker · Encino, CA
Practice location
16311 Ventura Blvd Ste 1120
Encino, CA 91436-4356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCS 16615 (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 1215259130
Roberta E. Mirisch, L.C.S.W.'s National Provider Identifier is 1215259130, issued on Feb 19, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Encino, CA. The record was last updated on Oct 26, 2010.