Individual provider · Type 1 NPI

Amanda Banda Raya, LCSW

Clinical Social Worker · Los Angeles, CA

NPI number 1962671958 Active

Practice location

5717 E Beverly Blvd
Los Angeles, CA 90022-2823

Call (323) 430-4200 Map

Mailing address

PO Box 54302
Los Angeles, CA 90054-0302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X66615 (CA)
Clinical Social Worker Primary 1041C0700XLCSW82340 (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 1962671958

Amanda Banda Raya, LCSW's National Provider Identifier is 1962671958, issued on Feb 25, 2008. 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 May 23, 2023.