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Mr. Sidary Sam, MSW
Clinical Social Worker in Long Beach, California
NPI 1962557900

Sidary Sam is a Clinical Social Worker based in Long Beach, CA and is specialized in Clinical. Sidary Sam practices in Long Beach, CA and has the professional credentials of MSW. The NPI Number for Sidary Sam is 1962557900 and holds a License No. ASW 22278 (California).

The current practice location address for Sidary Sam is 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA and can be reached out via phone at 562-346-1100.

Location: 4510 E Pacific Coast Hwy Ste 600, Long Beach, CA, 90804-6914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962557900
Provider Name
Sidary Sam
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
4510 E Pacific Coast Hwy Ste 600, Long Beach, CA, 90804-6914
Phone Number
562-346-1100
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4510 E Pacific Coast Hwy Ste 600
City
Long Beach
State
California
Zip
90804-6914
Phone Number
562-346-1100
Fax Number
person
Provider Business Mailing Address Details
Address
4510 E Pacific Coast Hwy Ste 600
City
Long Beach
State
California
Zip
90804-6914
Phone Number
562-346-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LCSW94013 (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.
ASW 22278 (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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