Individual provider · Type 1 NPI
Wanchoe Park, LCSW
Clinical Social Worker · Los Angeles, CA
Practice location
520 S La Fayette Park Pl
Los Angeles, CA 90057-1607
Fax (213) 383-3146
Mailing address
520 So. Lafayette Pk. Pl. 3rd Fl.
La, CA 90057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCS28421 (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 1619093028
Wanchoe Park, LCSW's National Provider Identifier is 1619093028, issued on Mar 21, 2007. 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 May 7, 2012.