Individual provider · Type 1 NPI

Vivian Marie Longoria, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1235337874 Active

Practice location

3540 Wilshire Blvd, Suite 1207
Los Angeles, CA 90010-2307

Mailing address

12102 Ramona Ave
Hawthorne, CA 90250-3628

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 15439 (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 1235337874

Vivian Marie Longoria, LCSW's National Provider Identifier is 1235337874, issued on Jul 5, 2007. 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 Jul 8, 2007.