Individual provider · Type 1 NPI

Dedra F. Bethany-Fulcher, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1740513985 Active

Practice location

439 W 97th St
Los Angeles, CA 90003-3968

Call (323) 754-2856 Map

Fax (323) 754-1843

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8572 (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 1740513985

Dedra F. Bethany-Fulcher, LCSW's National Provider Identifier is 1740513985, issued on Sep 4, 2009. 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 4, 2009.