JANICE DERDERIAN LICENSED CLINICAL SOCIAL WORKER INC
NPI 1700072717
Social Worker - Clinical in Seal Beach, CA

Q: What is Janice Derderian Licensed Clinical Social Worker Inc's specialty?

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

Active since September 24, 2007

1661 GOLDEN RAIN RD, SEAL BEACH, CA 90740(562) 795-6300 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Janice Derderian Licensed Clinical Social Worker Inc NPPES

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

JANICE DERDERIAN LICENSED CLINICAL SOCIAL WORKER INC (NPI 1700072717) is a healthcare organization registered as a clinical in Seal Beach, California and active in the NPI registry since September 2007. The organization lists Janice Derderian, Owner, as its authorized official.

NPPES Registry Identity

NPI1700072717

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameJANICE DERDERIAN LICENSED CLINICAL SOCIAL WORKER INC

Location Address1661 GOLDEN RAIN RDSeal Beach, CA 90740-4907

Mailing AddressPo Box 2685Seal Beach, CA 90740-1685

Phone(562) 795-6300

Organization SubpartNo

Authorized OfficialJanice DerderianOwner · (562) 795-6300

Enumeration DateSeptember 24, 2007

✔ NPI 1700072717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · SW7388

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.

1661 GOLDEN RAIN RD, Seal Beach, CA 90740

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Other Identifiers 1

Medicare PINW18558

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID RAE PARK MD

Family Medicine