Individual provider · Type 1 NPI

Ray Everett Liles, DSW, LCSW

Clinical Social Worker · San Bernardino, CA

NPI number 1033478904 Active

Practice location

1255 E Highland Ave Ste 107
San Bernardino, CA 92404-4652

Call (909) 645-8579 Map

Mailing address

PO Box 1029
Crestline, CA 92325-1029

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCS7532 (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 1033478904

Ray Everett Liles, DSW, LCSW's National Provider Identifier is 1033478904, issued on May 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on May 11, 2012.