Individual provider · Type 1 NPI

Mary A. Tanaka, L.C.S.W.

Clinical Social Worker · Los Angeles, CA

NPI number 1851468706 Active

Practice location

1925 Daly St
Los Angeles, CA 90031-3309

Call (323) 226-4447 Map

Fax (323) 223-8380

Mailing address

1925 Daly Street
Los Angeles, CA 90031-3309

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS9967 (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 1851468706

Mary A. Tanaka, L.C.S.W.'s National Provider Identifier is 1851468706, issued on Nov 29, 2006. 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 Jul 8, 2007.