Organization · Type 2 NPI

Providence Community Services

Clinical Social Worker · Cerritos, CA

NPI number 1962824649 Active

Practice location

18000 Studebaker Rd, Suite 700
Cerritos, CA 90703-2679

Fax (562) 467-5553

Mailing address

4281 Katella Ave, Suite 201
Los Alamitos, CA 90720-3500

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1962824649

Providence Community Services's National Provider Identifier is 1962824649, issued on Jan 14, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cerritos, CA. The record was last updated on Jan 14, 2014.