Individual provider · Type 1 NPI

Michael Edward Roback, L.C.S.W.

Clinical Social Worker · Los Angeles, CA

NPI number 1346306990 Active

Practice location

921 Westwood Blvd, Suite 217
Los Angeles, CA 90024-2944

Fax (310) 472-3386

Mailing address

380 N Kenter Ave
Los Angeles, CA 90049-2338

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS11715 (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 1346306990

Michael Edward Roback, L.C.S.W.'s National Provider Identifier is 1346306990, issued on Dec 28, 2006. 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 Jun 14, 2013.