KINIKO WILLINGHAM


Address: 1050 W 91st St, Los Angles, CA 90044
Phone: 3239077051

KINIKO WILLINGHAM (NPI# 1518384338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518384338
Entity Type Individual
Full Name KINIKO WILLINGHAM
Practice Address 1050 W 91st St
Los Angles
CA 90044
Mailing Address 1050 W 91st St
Los Angeles
CA 90044-3314
Practice Telephone 3239077051
Mailing Telephone 3239077051
Enumeration Date 2014-03-19
Last Update Date 2014-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker ASW 36116 CA Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
11762 PR Behavioral Health & Social Service Providers

Office Location

Street Address 1050 W 91ST ST
City LOS ANGLES
State CA
Zip Code 90044

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Competitor

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City LOS ANGLES
Zip Code 90044

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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