Individual provider · Type 1 NPI

Susan Michelle Bordon, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1710104740 Active

Practice location

12011 San Vicente Blvd, Suite 408
Los Angeles, CA 90049-4926

Mailing address

2332 Beach Ave
Venice, CA 90291-4603

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1710104740

Susan Michelle Bordon, LCSW's National Provider Identifier is 1710104740, issued on Apr 19, 2007. 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 Oct 14, 2013.