Individual provider · Type 1 NPI
Miriam Lucero Gomez Tello, ASW
Clinical Social Worker · Reseda, CA
Practice location
17922 Keswick St
Reseda, CA 91335-2156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 85311 (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 1609541929
Miriam Lucero Gomez Tello, ASW's National Provider Identifier is 1609541929, issued on Aug 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Reseda, CA. The record was last updated on Aug 9, 2021.