Individual provider · Type 1 NPI

Alisa Gardner

Clinical Social Worker · Costa Mesa, CA

NPI number 1518319946 Active

Practice location

3151 Airway Ave, T2
Costa Mesa, CA 92626-4607

Mailing address

4546 El Camino Real Ste B7
Los Altos, CA 94022-1069

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW18615 (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 1518319946

Alisa Gardner's National Provider Identifier is 1518319946, issued on Jul 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 14, 2024.