Individual provider · Type 1 NPI

Gibson Pham

Clinical Social Worker · Costa Mesa, CA

NPI number 1376900431 Active

Practice location

301 Victoria St
Costa Mesa, CA 92627-1995

Call (949) 574-3367 Map

Mailing address

PO Box 15542
Anaheim, CA 92803-5542

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X95619 (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 1376900431

Gibson Pham's National Provider Identifier is 1376900431, issued on Jan 20, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Jan 2, 2024.