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Antonio Shallowhorn
Clinical Social Worker in Los Angeles, California
NPI 1851940811

Antonio Shallowhorn is a Clinical Social Worker based in Los Angeles, CA and is specialized in Clinical. Antonio Shallowhorn practices in Los Angeles, CA. The NPI Number for Antonio Shallowhorn is 1851940811 and holds a License No. 105201 (California).

The current practice location address for Antonio Shallowhorn is 1720 E 120Th St, Los Angeles, CA and can be reached out via phone at 424-429-2767.

Location: 1720 E 120Th St, Los Angeles, CA, 90059-3052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851940811
Provider Name
Antonio Shallowhorn
Credential
Provider Entity Type
Individual
Gender
Male
Address
1720 E 120Th St, Los Angeles, CA, 90059-3052
Phone Number
424-429-2767
Fax Number
Provider Enumeration Date
09/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 E 120Th St
City
Los Angeles
State
California
Zip
90059-3052
Phone Number
424-429-2767
Fax Number
person
Provider Business Mailing Address Details
Address
1720 E 120Th St
City
Los Angeles
State
California
Zip
90059-3052
Phone Number
424-429-2767
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
105201 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
105201 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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