Individual provider · Type 1 NPI

Jonathan Medrano, ASW

Clinical Social Worker · Tarzana, CA

NPI number 1750039558 Active

Practice location

5609 Yolanda Ave. PO Box 572032
Tarzana, CA 91357-5001

Specialties and licenses

Taxonomy	Code	License
Behavior Technician	106S00000X	None listed
Clinical Social Worker Primary	1041C0700X	124552 (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 1750039558

Jonathan Medrano, ASW's National Provider Identifier is 1750039558, issued on Mar 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tarzana, CA. The record was last updated on Dec 13, 2024.