Organization · Type 2 NPI

Autism 360 Support LLC

Clinical Social Worker · Huntington Beach, CA

NPI number 1639802382 Active

Practice location

5762 Bolsa Ave Ste 107
Huntington Beach, CA 92649-1172

Mailing address

11278 Los Alamitos Blvd # 106
Los Alamitos, CA 90720-3958

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1639802382

Autism 360 Support LLC's National Provider Identifier is 1639802382, issued on Jul 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Huntington Beach, CA. The record was last updated on Jan 26, 2023.