Individual provider · Type 1 NPI

Nic Erebus Love

Clinical Social Worker · City Of Industry, CA

NPI number 1699009340 Active

Practice location

13200 Crossroads Pkwy N Bldg 300
City Of Industry, CA 91746-3459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XLCSW79459 (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 1699009340

Nic Erebus Love's National Provider Identifier is 1699009340, issued on Sep 29, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in City Of Industry, CA. The record was last updated on Apr 30, 2025.