Individual provider · Type 1 NPI

Kandice Dominique Gray

Clinical Social Worker · Long Beach, CA

NPI number 1396016903 Active

Practice location

1777 N Bellflower Blvd Ste 105
Long Beach, CA 90815-4019

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW90095 (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 1396016903

Kandice Dominique Gray's National Provider Identifier is 1396016903, issued on Jan 13, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Sep 1, 2022.