Individual provider · Type 1 NPI

Mercedes Samudio, LCSW

Clinical Social Worker · Inglewood, CA

NPI number 1659645927 Active

Practice location

2930 W Imperial Hwy, Suite 310
Inglewood, CA 90303-3143

Mailing address

PO Box 601
Huntington Beach, CA 92648-0601

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW32387 (CA)
Social Worker 104100000XASW32387 (CA)
Clinical Social Worker Primary 1041C0700XLCS 64645 (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 1659645927

Mercedes Samudio, LCSW's National Provider Identifier is 1659645927, issued on Mar 2, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Inglewood, CA. The record was last updated on Dec 2, 2014.