Individual provider · Type 1 NPI

Virginia Lillian Durivage, LCSW

Clinical Social Worker · Long Beach, CA

NPI number 1265780449 Active

Practice location

3424 E 4th St
Long Beach, CA 90814-1557

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	27476 (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 1265780449

Virginia Lillian Durivage, LCSW's National Provider Identifier is 1265780449, issued on Aug 20, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Aug 20, 2012.