Organization · Type 2 NPI

Epiphany Counseling, Consulting & Treatment Services, PC

Clinical Social Worker · San Pedro, CA

NPI number 1376922328 Active

Practice location

302 W 5th St Ste 308
San Pedro, CA 90731-2750

Fax (424) 363-1721

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XLCSW64555 (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 1376922328

Epiphany Counseling, Consulting & Treatment Services, PC's National Provider Identifier is 1376922328, issued on May 22, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Pedro, CA. The record was last updated on Oct 4, 2016.