Individual provider · Type 1 NPI

Angela Monique-Victoria Lyles, ASW

Clinical Social Worker · San Diego, CA

NPI number 1295369767 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Other practice locations

  • 7592 Broadway, Lemon Grove, CA 91945-1604 · (619) 515-2550

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X128515 (CA)
Rehabilitation Practitioner 225400000XNone 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 1295369767

Angela Monique-Victoria Lyles, ASW's National Provider Identifier is 1295369767, issued on Feb 24, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Apr 28, 2026.