Individual provider · Type 1 NPI

Gennie Samala

Clinical Social Worker · Los Angeles, CA

NPI number 1407304777 Active

Practice location

515 Columbia Ave Ste 100
Los Angeles, CA 90017-1209

Call (213) 553-1884 Map

Mailing address

1730 W Olympic Blvd
Los Angeles, CA 90015-1019

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X79344 (CA)
Clinical Social Worker Primary 1041C0700X112414 (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 1407304777

Gennie Samala's National Provider Identifier is 1407304777, issued on Sep 15, 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 Dec 8, 2022.