Individual provider · Type 1 NPI
James Randolph Elliott, LCSW
Clinical Social Worker · San Dimas, CA
Practice location
615 Briarwood Ln
San Dimas, CA 91773-3608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 25485 (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 1992081103
James Randolph Elliott, LCSW's National Provider Identifier is 1992081103, issued on Nov 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Dimas, CA. The record was last updated on Nov 1, 2011.