Individual provider · Type 1 NPI

Dominie Trang Ly

Clinical Social Worker · Loma Linda, CA

NPI number 1649537408 Active

Practice location

11201 Benton St
Loma Linda, CA 92357-1000

Call (909) 583-6185 Map

Mailing address

2124 W Harriet Ln
Anaheim, CA 92804-6040

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW24266 (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 1649537408

Dominie Trang Ly's National Provider Identifier is 1649537408, issued on Apr 18, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Loma Linda, CA. The record was last updated on Apr 18, 2012.