Individual provider · Type 1 NPI
Amanda Lee Carrillo, LCSW
Clinical Social Worker · Fullerton, CA
Practice location
3621 W Ash Ave
Fullerton, CA 92833-3107
Fax (213) 935-8728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW36736 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCSW82461 (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 1477804227
Amanda Lee Carrillo, LCSW's National Provider Identifier is 1477804227, issued on Sep 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fullerton, CA. The record was last updated on Nov 29, 2019.