Individual provider · Type 1 NPI

Sidary Sam, MSW

Clinical Social Worker · Long Beach, CA

NPI number 1962557900 Active

Practice location

4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914

Call (562) 346-1100 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XASW 22278 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW94013 (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 1962557900

Sidary Sam, MSW's National Provider Identifier is 1962557900, issued on Jan 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Mar 8, 2021.