Individual provider · Type 1 NPI

Krystal Mi'chal Gordon, LCSW

Clinical Social Worker · Compton, CA

NPI number 1366513012 Active

Practice location

546 W Compton Blvd
Compton, CA 90220-3011

Call (310) 885-2117 Map

Fax (310) 537-9653

Mailing address

PO Box 3044
Lakewood, CA 90711-3044

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XASW20095 (CA)
Clinical Social Worker Primary 1041C0700XLCS 29762 (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 1366513012

Krystal Mi'chal Gordon, LCSW's National Provider Identifier is 1366513012, issued on Nov 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Compton, CA. The record was last updated on Oct 4, 2013.