Individual provider · Type 1 NPI

Gloria Bautista

Clinical Social Worker · Banning, CA

NPI number 1124860432 Active

Practice location

940 E Williams St Ste 102
Banning, CA 92220-5848

Call (951) 588-2553 Map

Fax (951) 755-8992

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122706 (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 1124860432

Gloria Bautista's National Provider Identifier is 1124860432, issued on Jun 7, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Banning, CA. The record was last updated on Jun 7, 2024.