Individual provider · Type 1 NPI

Holly Dale Hustadhardgrove, LCSW

Clinical Social Worker · Santa Monica, CA

NPI number 1700910882 Active

Practice location

2730 Wilshire Blvd, Suite 620
Santa Monica, CA 90403-4743

Call (310) 453-5747 Map

Mailing address

2444 Wilshire Blvd, Suite 415
Santa Monica, CA 90403-5808

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 7484 (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 1700910882

Holly Dale Hustadhardgrove, LCSW's National Provider Identifier is 1700910882, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Monica, CA. The record was last updated on May 31, 2013.