Individual provider · Type 1 NPI

Marie Mizuno

Clinical Social Worker · Los Angeles, CA

NPI number 1639471832 Active

Practice location

1233 S La Cienega Blvd
Los Angeles, CA 90035-2520

Call (310) 855-0031 Map

Fax (310) 855-0138

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW70387 (CA)
Social Worker 104100000XASW33330 (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 1639471832

Marie Mizuno's National Provider Identifier is 1639471832, issued on Nov 22, 2010. 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 Sep 22, 2016.