Individual provider · Type 1 NPI

Traci Keiko Ishigo, MSW

Clinical Social Worker · Los Angeles, CA

NPI number 1497385199 Active

Practice location

3371 Glendale Blvd Ste 214
Los Angeles, CA 90039-1857

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X83877 (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 1497385199

Traci Keiko Ishigo, MSW's National Provider Identifier is 1497385199, issued on Jan 22, 2020. 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 Jan 22, 2020.