Organization · Type 2 NPI

Your Life Service League Licensed Clinical Social Worker Apc

Clinical Social Worker · Pomona, CA

NPI number 1669086013 Active

Practice location

435 W Mission Blvd Ste 301
Pomona, CA 91766-1632

Mailing address

300 S Park Ave Ste 820
Pomona, CA 91766-1501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone 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 1669086013

Your Life Service League Licensed Clinical Social Worker Apc's National Provider Identifier is 1669086013, issued on Sep 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pomona, CA. The record was last updated on May 18, 2022.