Individual provider · Type 1 NPI

Peterson Q. Pham, LCSW

Clinical Social Worker · Long Beach, CA

NPI number 1790107597 Active

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

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 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.