Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Janice Derderian Licensed Clinical Social Worker Inc

Organization Clinical Social Worker · NPI 1700072717

Janice Derderian Licensed Clinical Social Worker Inc provides Clinical Social Worker services in Seal Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1661 Golden Rain Rd
Seal Beach, CA 90740-4907 Not confirmed with CMS for 19 years — call before visiting
Phone: (562) 795-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW7388 (CA)

Record details

NPI number1700072717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Derderian — Owner · (562) 795-6300
NPI enumeratedSeptember 24, 2007
Last updated in NPPESSeptember 24, 2007
Mailing addressPo Box 2685, Seal Beach, CA 90740-1685

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