Individual provider · Type 1 NPI

Jeremiah C. Buenrostro

Clinical Social Worker · Pasadena, CA

NPI number 1073160214 Active

Practice location

393 E Walnut St
Pasadena, CA 91188-1486

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X120503 (CA)
Mental Health Counselor 101YM0800X96364 (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 1073160214

Jeremiah C. Buenrostro's National Provider Identifier is 1073160214, issued on Aug 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pasadena, CA. The record was last updated on May 8, 2024.