Individual provider · Type 1 NPI
Clancy Vinchattle
Clinical Social Worker · Los Angeles, CA
Practice location
1505 N Edgemont St
Los Angeles, CA 90027-5209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 97479 (CA) |
| Social Worker | 104100000X | 71206 (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 1679018196
Clancy Vinchattle's National Provider Identifier is 1679018196, issued on Dec 20, 2016. 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 16, 2024.