Individual provider · Type 1 NPI

Celeste Demaria Lacy

Clinical Social Worker · Los Angeles, CA

NPI number 1871987206 Active

Practice location

11303 W Washington Blvd
Los Angeles, CA 90066-6003

Mailing address

2640 Industry Way
Lynwood, CA 90262-4284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW89831 (CA)
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X111074 (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 1871987206

Celeste Demaria Lacy's National Provider Identifier is 1871987206, issued on Mar 24, 2015. 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 Jun 27, 2023.