Organization · Type 2 NPI

Providence Community Services

Clinical Social Worker · Riverside, CA

NPI number 1255754784 Active

Practice location

3890 11th. Street, Suite 118
Riverside, CA 92501

Fax (562) 467-5553

Mailing address

4281 Katella Ave, Suite 201
Los Alamitos, CA 90720-3500

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 1255754784

Providence Community Services's National Provider Identifier is 1255754784, issued on Feb 4, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, CA. The record was last updated on Feb 4, 2014.