Individual provider · Type 1 NPI
Tina Carol Fietsam, LCSW, PPSC
Clinical Social Worker · Los Angeles, CA
Practice location
1000 N Alameda St Ste 390
Los Angeles, CA 90012-1804
Mailing address
21821 Palanca
Mission Viejo, CA 92692-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 19728 (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 1619865235
Tina Carol Fietsam, LCSW, PPSC's National Provider Identifier is 1619865235, issued on Jun 24, 2025. 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 Jun 24, 2025.