Individual provider · Type 1 NPI

Mary Johnson Neely, LCSW

Clinical Social Worker · Santa Monica, CA

NPI number 1386390862 Active

Practice location

2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 90404-2189

Fax (310) 313-5165

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW106852 (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 1386390862

Mary Johnson Neely, LCSW's National Provider Identifier is 1386390862, issued on Feb 23, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Monica, CA. The record was last updated on May 1, 2024.