Individual provider · Type 1 NPI

Jury Candelario Iii, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1629586235 Active

Practice location

3055 Wilshire Blvd Ste 300
Los Angeles, CA 90010-1147

Fax (213) 553-1833

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X87611 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X106442 (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 1629586235

Jury Candelario Iii, LCSW's National Provider Identifier is 1629586235, issued on Jan 17, 2018. 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 Jan 14, 2022.