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THE THERAPEUTIC DOJO PSYCHOTHERAPY SERVICES A PROFESSIONAL LICENSED CL
NPI 1336861517
Social Worker - Clinical in Los Angeles, CA

Active since September 14, 2022
1100 WILSHIRE BLVD APT 2210, LOS ANGELES, CA 90017(949) 993-8606 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2022, Sep 14, 2022 (2 updates tracked since 2022).

About The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE THERAPEUTIC DOJO PSYCHOTHERAPY SERVICES A PROFESSIONAL LICENSED CL (NPI 1336861517) is a healthcare organization registered as a clinical in Los Angeles, California and active in the NPI registry since September 2022. The organization lists Tanicia Trotter, Director, as its authorized official.

NPPES Registry Identity

NPI1336861517
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE THERAPEUTIC DOJO PSYCHOTHERAPY SERVICES A PROFESSIONAL LICENSED CL
Location Address1100 WILSHIRE BLVD APT 2210Los Angeles, CA 90017-1951
Mailing AddressPo Box 43San Dimas, CA 91773-0043 · (949) 993-8606
Phone(949) 993-8606
Organization SubpartNo
Authorized OfficialTanicia TrotterDirector · (949) 993-8604
Enumeration DateSeptember 14, 2022
Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
✔ NPI 1336861517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1100 WILSHIRE BLVD APT 2210, Los Angeles, CA 90017
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Other Identifiers 3

Other4765HI · State Of Hawaii Dept. Of Commerce And Consumer Affairs
Other21067CA · California Board Of Behavioral Sciences
Other1275612657Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl's NPI number?

The NPI number for The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl is 1336861517. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl located?

The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl is located at 1100 Wilshire Blvd Apt 2210, Los Angeles, CA 90017. The listed phone number is (949) 993-8606.

What is The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for The Therapeutic Dojo Psychotherapy Services A Professional Licensed Cl was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.