Individual provider · Type 1 NPI
Danielle Dutta
Clinical Social Worker · Los Angeles, CA
Practice location
11601 S Western Ave
Los Angeles, CA 90047-5006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 114137 (CA) |
| Rehabilitation Practitioner | 225400000X | None listed |
| Mental Health Counselor | 101YM0800X | 114137 (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 1720794530
Danielle Dutta's National Provider Identifier is 1720794530, issued on Jan 25, 2023. 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 Apr 8, 2026.