Individual provider · Type 1 NPI

Keven Fitzgerald Ulrich

Clinical Social Worker · Lynwood, CA

NPI number 1619682655 Active

Practice location

2640 Industry Way
Lynwood, CA 90262-4284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW115294 (CA)
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Clinical Social Worker Primary 1041C0700XASW115294 (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 1619682655

Keven Fitzgerald Ulrich's National Provider Identifier is 1619682655, issued on Jan 13, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynwood, CA. The record was last updated on Aug 16, 2023.