Individual provider · Type 1 NPI

Joseph Tyler Antico, LCSW

Clinical Social Worker · Rancho Mirage, CA

NPI number 1922754696 Active

Practice location

36101 Bob Hope Dr Ste A
Rancho Mirage, CA 92270-2001

Call (760) 321-1315 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122771 (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 1922754696

Joseph Tyler Antico, LCSW's National Provider Identifier is 1922754696, issued on Feb 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Mirage, CA. The record was last updated on Mar 3, 2026.