Individual provider · Type 1 NPI
Wendy Susan Datlow, LICSW
Clinical Social Worker · Los Angeles, CA
Practice location
12026 Goshen Ave, Apt. 8
Los Angeles, CA 90049-6326
Mailing address
17824 33rd Ave NE
Lake Forest Park, WA 98155-4017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | LW60907134 (WA) |
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 1679894653
Wendy Susan Datlow, LICSW's National Provider Identifier is 1679894653, issued on Jun 14, 2010. 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 2, 2024.