Individual provider · Type 1 NPI

Monique Bautista, LCSW

Clinical Social Worker · Fontana, CA

NPI number 1033800560 Active

Practice location

6101 Cherry Ave
Fontana, CA 92336-5362

Call (909) 202-8361 Map

Mailing address

5036 Snowberry Dr
Fontana, CA 92336-0759

Other practice locations

3616 N Meridian Ave Ste 111, Oklahoma City, OK 73112-2814 · (909) 202-8403

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	115289 (CA)
Clinical Social Worker	1041C0700X	22588 (OK)

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 1033800560

Monique Bautista, LCSW's National Provider Identifier is 1033800560, issued on May 16, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fontana, CA. The record was last updated on Jul 7, 2026.