Individual provider · Type 1 NPI
Mary Goedhart
Clinical Social Worker · Cerritos, CA
Practice location
17315 Studebaker Rd Ste 101
Cerritos, CA 90703-2564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 104318 (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 1700705472
Mary Goedhart's National Provider Identifier is 1700705472, issued on Jul 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cerritos, CA. The record was last updated on Jul 15, 2026.