Individual provider · Type 1 NPI
Jessica Lisbet Diaz, LCSW97835
Clinical Social Worker · Compton, CA
Practice location
901 W Victoria St. Suite F & G
Compton, CA 90220
Fax (310) 669-9501
Mailing address
901 W Victoria St Ste F&g
Compton, CA 90220-5807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW67504 (CA) |
| Mental Health Counselor | 101YM0800X | LCSW97835 |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | LCSW97835 (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 1366841306
Jessica Lisbet Diaz, LCSW97835's National Provider Identifier is 1366841306, issued on Aug 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Compton, CA. The record was last updated on May 19, 2021.