Individual provider · Type 1 NPI

Kristy Kudo I

Clinical Social Worker · Santa Fe Springs, CA

NPI number 1619005006 Active

Practice location

11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674

Call (562) 949-8455 Map

Mailing address

11721 Telegraph Rd Ste A
Santa Fe Springs, CA 90670-6835

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCS 26022 (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 1619005006

Kristy Kudo I's National Provider Identifier is 1619005006, issued on Feb 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Nov 19, 2009.