Individual provider · Type 1 NPI

Nicole Burgos

Clinical Social Worker · Santa Fe Springs, CA

NPI number 1386150795 Active

Practice location

11731 Telegraph Rd
Santa Fe Springs, CA 90670-3675

Mailing address

5112 Pine Ave
Long Beach, CA 90805-6442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW80980 (CA)
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XASW80980 (CA)
Clinical Social Worker Primary 1041C0700XLCSW118331 (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 1386150795

Nicole Burgos's National Provider Identifier is 1386150795, issued on Dec 20, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Nov 29, 2023.