Individual provider · Type 1 NPI

Stacey L. Prothro, LCSW

Clinical Social Worker · Long Beach, CA

NPI number 1437323003 Active

Practice location

4101 Mcgowen St Ste 110133
Long Beach, CA 90808-1898

Mailing address

4101 Mcgowen St Ste 110-133
Long Beach, CA 90808-1898

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
School Social Worker 1041S0200XNone listed
Clinical Social Worker Primary 1041C0700X29497 (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 1437323003

Stacey L. Prothro, LCSW's National Provider Identifier is 1437323003, issued on Apr 15, 2008. 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 Jan 31, 2022.