Individual provider · Type 1 NPI

Zack Maxwell George Oldenburg

Clinical Social Worker · Los Angeles, CA

NPI number 1487987848 Active

Practice location

4650 W Sunset Blvd # 115
Los Angeles, CA 90027-6062

Mailing address

1751 Winona Blvd Apt 4
Los Angeles, CA 90027-3824

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1487987848

Zack Maxwell George Oldenburg's National Provider Identifier is 1487987848, issued on Sep 16, 2009. 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 16, 2009.