Individual provider · Type 1 NPI

Benjamin Supkoff

Clinical Social Worker · Los Angeles, CA

NPI number 1720338619 Active

Practice location

765 Weyburn Ter, #102
Los Angeles, CA 90024-2843

Mailing address

765 Weyburn Ter #102
Los Angeles, CA 90024-2843

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 1720338619

Benjamin Supkoff's National Provider Identifier is 1720338619, issued on Sep 18, 2012. 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 Sep 18, 2012.