Individual provider · Type 1 NPI
Carol Fowlkes
Clinical Social Worker · Gardena, CA
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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | ASW99662 (CA) |
| Rehabilitation Practitioner | 225400000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 118545 (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.