Individual provider · Type 1 NPI

Phikhanh Thi Le, LCSW

Clinical Social Worker · Marina, CA

NPI number 1700685229 Active

Practice location

3110 Lake Dr
Marina, CA 93933-2855

Mailing address

PO Box 1030
Marina, CA 93933-1030

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW126758 (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 1700685229

Phikhanh Thi Le, LCSW's National Provider Identifier is 1700685229, issued on Mar 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marina, CA. The record was last updated on Oct 17, 2025.