Individual provider · Type 1 NPI

Melinda Acosta Black, LCSW

Clinical Social Worker · Santa Ana, CA

NPI number 1962056820 Active

Practice location

1526 Brookhollow Drive
Santa Ana, CA 92705

Call (714) 545-3390 Map

Mailing address

6070 E Camino Correr
Anaheim, CA 92807-3213

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	88773 (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 1962056820

Melinda Acosta Black, LCSW's National Provider Identifier is 1962056820, issued on Jul 30, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 30, 2019.