Individual provider · Type 1 NPI

Fanya Nichole Love

Clinical Social Worker · San Bernardino, CA

NPI number 1144744053 Active

Practice location

780 E Gilbert St
San Bernardino, CA 92415-1003

Call (909) 421-9435 Map

Other practice locations

  • 710 E 111th Pl, Los Angeles, CA 90059-1518 · (323) 802-0453

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XACSW78188 (CA)
Clinical Social Worker Primary 1041C0700X121092 (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 1144744053

Fanya Nichole Love's National Provider Identifier is 1144744053, issued on Aug 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Feb 28, 2024.