Individual provider · Type 1 NPI
Bruce Gaines
Clinical Social Worker · Granada Hills, CA
Practice location
10605 Balboa Blvd. Suite 100
Granada Hills, CA 91344
Mailing address
121 W Victoria St
Long Beach, CA 90805-2162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 75241 (CA) |
| Mental Health Counselor | 101YM0800X | None listed |
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 1114252772
Bruce Gaines's National Provider Identifier is 1114252772, issued on Oct 14, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Granada Hills, CA. The record was last updated on Sep 30, 2026.