Individual provider · Type 1 NPI

Carlos Portillo

Clinical Social Worker · Woodland Hills, CA

NPI number 1679053342 Active

Practice location

20501 Ventura Blvd
Woodland Hills, CA 91364-2337

Fax (818) 975-5008

Mailing address

20501 Ventura Blvd Ste 170
Woodland Hills, CA 91364-6258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR12361610816 (CA)
Clinical Social Worker Primary 1041C0700X112333 (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 1679053342

Carlos Portillo's National Provider Identifier is 1679053342, issued on Aug 21, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodland Hills, CA. The record was last updated on Mar 2, 2023.