Individual provider · Type 1 NPI

Carol Fowlkes

Clinical Social Worker · Gardena, CA

NPI number 1306328281 Active

Practice location

879 W 190th St
Gardena, CA 90248-4220

Fax (714) 680-8233

Mailing address

879 W 190th St Ste 300
Gardena, CA 90248-4223

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XASW99662 (CA)
Rehabilitation Practitioner 225400000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X118545 (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 1306328281

Carol Fowlkes's National Provider Identifier is 1306328281, issued on Sep 6, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gardena, CA. The record was last updated on Sep 10, 2024.