Individual provider · Type 1 NPI
Keaujahne Kierra Champane Polk
Clinical Social Worker · Inglewood, CA
Practice location
10425 Crenshaw Blvd Apt 5
Inglewood, CA 90303-4462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 117698 (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 1376190033
Keaujahne Kierra Champane Polk's National Provider Identifier is 1376190033, issued on Aug 19, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Inglewood, CA. The record was last updated on Nov 26, 2024.