KRISTIN LICCIARDO L.C.S.W.
NPI 1760571335
Social Worker - Clinical in Los Angeles, CA

Active since October 12, 2006
550 S VERMONT AVE FL 3, LOS ANGELES, CA 90020(213) 738-6165(213) 738-6521 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Licciardo L.c.s.w. NPPES

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

KRISTIN LICCIARDO L.C.S.W. (NPI 1760571335) is an individual clinical provider in Los Angeles, California, licensed in California (LCS 20229) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1760571335
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN LICCIARDOCredential: L.C.S.W.
Location Address550 S VERMONT AVE FL 3Los Angeles, CA 90020-1912
Mailing Address550 S Vermont Ave Fl 3Los Angeles, CA 90020-1912 · (213) 738-6165 · Fax (213) 738-6521
Fax(213) 738-6521
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760571335 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 · LCS 20229
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.
550 S VERMONT AVE FL 3, Los Angeles, CA 90020

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.

Social Worker (Clinical)
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020
Social Worker (Clinical)
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020
Social Worker (Clinical)
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020
Social Worker (Clinical)
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020
Psychologist (Clinical)
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020
Psychologist (Clinical)
550 S VERMONT AVE FL 3, COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH
LOS ANGELES, CA 90020
Social Worker (Clinical)
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020
Psychologist
550 S VERMONT AVE FL 3
LOS ANGELES, CA 90020

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 Kristin Licciardo's NPI number?

The NPI number for Kristin Licciardo is 1760571335. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kristin Licciardo located?

Kristin Licciardo practices at 550 S Vermont Ave Fl 3, Los Angeles, CA 90020. The listed phone number is (213) 738-6165.

What is Kristin Licciardo'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 Kristin Licciardo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.