Organization · Type 2 NPI

Lausd 97th ST SMH Clinic

Clinical Social Worker · Los Angeles, CA

NPI number 1902034101 Active

Practice location

439 W 97th St
Los Angeles, CA 90003-3968

Call (323) 754-2856 Map

Fax (323) 754-1843

Mailing address

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Clinical Social Worker Primary 1041C0700X0315 (CA)
Psychiatric/Mental Health Registered Nurse 163WP0808XNone 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 1902034101

Lausd 97th ST SMH Clinic's National Provider Identifier is 1902034101, issued on Jun 25, 2009. 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 25, 2009.