Individual provider · Type 1 NPI

Justine Carrillo, LCSW

Clinical Social Worker · Mission Viejo, CA

NPI number 1073947149 Active

Practice location

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X94835 (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 1073947149

Justine Carrillo, LCSW's National Provider Identifier is 1073947149, issued on Aug 26, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mission Viejo, CA. The record was last updated on Jul 25, 2022.