Individual provider · Type 1 NPI
Jackie Agboke
Clinical Social Worker · Los Angeles, CA
Practice location
757 Westwood Plz Fl 4
Los Angeles, CA 90095-3051
Mailing address
757 Westwood Plaza, 4 West
Los Angeles, CA 90095-3051
Other practice locations
- 1721 E 120th St Trlr 6, Los Angeles, CA 90059-3051 · (323) 242-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 86357 (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 1467717124
Jackie Agboke's National Provider Identifier is 1467717124, issued on Jul 9, 2012. 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 Sep 21, 2019.