Individual provider · Type 1 NPI

Kristen Rene Bustillos Fragoso, MSW

Clinical Social Worker · Fillmore, CA

NPI number 1013447457 Active

Practice location

425 Edgewood Dr
Fillmore, CA 93015-1846

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X100098 (CA)
Mental Health Counselor 101YM0800XACSW78038 (CA)

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…

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About NPI 1013447457

Kristen Rene Bustillos Fragoso, MSW's National Provider Identifier is 1013447457, issued on Jun 18, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fillmore, CA. The record was last updated on May 22, 2023.