Individual provider · Type 1 NPI

Yudha Mann Adiputera

Clinical Social Worker · Culver City, CA

NPI number 1275014037 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Call (310) 390-6612 Map

Mailing address

2000 E 4th St Ste 201
Santa Ana, CA 92705-3907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW142167 (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 1275014037

Yudha Mann Adiputera's National Provider Identifier is 1275014037, issued on Aug 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Culver City, CA. The record was last updated on Sep 18, 2026.