Individual provider · Type 1 NPI

Mathew L. Judd, LCSW

Clinical Social Worker · Ontario, CA

NPI number 1417090481 Active

Practice location

2990 Inland Empire Blvd, #101
Ontario, CA 91764-4899

Call (909) 980-3427 Map

Fax (909) 945-3426

Mailing address

906 Melody Ln
Fullerton, CA 92831-1956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS18850 (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 1417090481

Mathew L. Judd, LCSW's National Provider Identifier is 1417090481, issued on Feb 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, CA. The record was last updated on Jul 8, 2007.