Individual provider · Type 1 NPI

Melissa Fowler, LCSW

Clinical Social Worker · La Mirada, CA

NPI number 1861700510 Active

Practice location

15651 Imperial Hwy, Suite 203
La Mirada, CA 90638-1628

Call (562) 383-1728 Map

Fax (562) 309-8319

Mailing address

PO Box 1831
La Mirada, CA 90637-1831

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X33406 (CA)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X73228 (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 1861700510

Melissa Fowler, LCSW's National Provider Identifier is 1861700510, issued on Sep 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in La Mirada, CA. The record was last updated on May 9, 2017.