Organization · Type 2 NPI

Civic Passage Foundation

Clinical Social Worker · Los Angeles, CA

NPI number 1811891005 Active

Practice location

4336 Alla Rd
Los Angeles, CA 90066-6101

Fax (323) 395-0641

Mailing address

2424 Hill St
Santa Monica, CA 90405-6004

Specialties and licenses

TaxonomyCodeLicense
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 1811891005

Civic Passage Foundation's National Provider Identifier is 1811891005, issued on Oct 2, 2026. 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 Oct 2, 2026.