Individual provider · Type 1 NPI

Ethan Aaron Vaca

Clinical Social Worker · Los Angeles, CA

NPI number 1285449207 Active

Practice location

510 S Vermont Ave
Los Angeles, CA 90020-1912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW122313 (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 1285449207

Ethan Aaron Vaca's National Provider Identifier is 1285449207, issued on Feb 7, 2025. 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 Feb 7, 2025.