Individual provider · Type 1 NPI

Kevin De Kock

Clinical Social Worker · Los Angeles, CA

NPI number 1356750079 Active

Practice location

6762 Lexington Ave
Los Angeles, CA 90038-1217

Call (323) 380-7590 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X82001 (CA)
Social Worker 104100000X10771 (TN)
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X101466 (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 1356750079

Kevin De Kock's National Provider Identifier is 1356750079, issued on Aug 6, 2014. 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 Aug 26, 2021.