Individual provider · Type 1 NPI
Stacey Renee Light
Clinical Social Worker · Los Angeles, CA
Practice location
1612 S Canfield Ave
Los Angeles, CA 90035-3219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCS21129 (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 1922934983
Stacey Renee Light's National Provider Identifier is 1922934983, issued on Jun 18, 2026. 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 18, 2026.