Individual provider · Type 1 NPI

Kellie Vaca

Clinical Social Worker · Los Angeles, CA

NPI number 1396294591 Active

Practice location

7120 Franklin Ave
Los Angeles, CA 90046-3002

Mailing address

10155 Colima Rd
Whittier, CA 90603-2042

Other practice locations

  • 855 N Orange Grove Blvd, Pasadena, CA 91103-3333 · (626) 796-3453

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X83763 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X83763 (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 1396294591

Kellie Vaca's National Provider Identifier is 1396294591, issued on Sep 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 10, 2022.