Individual provider · Type 1 NPI
Justin Bashore, LCSW
Clinical Social Worker · San Diego, CA
Practice location
9988 Hibert St Ste 102
San Diego, CA 92131-2480
Mailing address
4150 Ingraham St Apt 3
San Diego, CA 92109-5457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW133623 (CA) |
| Mental Health Counselor | 101YM0800X | None listed |
Clinical Social Worker: 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 interpers…
2 other providers at this address
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About NPI 1013409325
Justin Bashore, LCSW's National Provider Identifier is 1013409325, issued on Jun 1, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Sep 9, 2025.