Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchum Vanblaricom

Individual provider Clinical Social Worker · NPI 1649643859

Mitchum Vanblaricom is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone: (323) 993-8971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 118848 (CA)

Record details

NPI number1649643859
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2015
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

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