Individual provider · Type 1 NPI
Peterson Q. Pham, LCSW
Clinical Social Worker · Long Beach, CA
Practice location
1043 Elm Ave Ste 302
Long Beach, CA 90813-3295
Mailing address
PO Box 1789
Garden Grove, CA 92842-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None 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 1790107597
Peterson Q. Pham, LCSW's National Provider Identifier is 1790107597, issued on Jan 13, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Nov 21, 2025.