Individual provider · Type 1 NPI

Magaly Arlen Phakousonh

Clinical Social Worker · San Clemente, CA

NPI number 1528678091 Active

Practice location

3551 Camino Mira Costa Ste T
San Clemente, CA 92672-3508

Call (949) 272-4444 Map

Mailing address

140 Crossover
Irvine, CA 92618-1303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X131656 (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 1528678091

Magaly Arlen Phakousonh's National Provider Identifier is 1528678091, issued on Aug 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Clemente, CA. The record was last updated on Aug 5, 2025.