Individual provider · Type 1 NPI

Mariesa Jene Samba

Clinical Social Worker · Los Angeles, CA

NPI number 1831745967 Active

Practice location

4601 S Broadway
Los Angeles, CA 90037-2729

Call (323) 234-4445 Map

Fax (323) 682-0632

Other practice locations

  • 333 S Beaudry Ave, Los Angeles, CA 90017-1466 · (213) 241-3841

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X103762 (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 1831745967

Mariesa Jene Samba's National Provider Identifier is 1831745967, issued on Aug 14, 2019. 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 Aug 19, 2024.