Individual provider · Type 1 NPI

Carlos Joel Gaytan, LCSW

Clinical Social Worker · Rancho Cucamonga, CA

NPI number 1154946952 Active

Practice location

10801 6th St Ste 120
Rancho Cucamonga, CA 91730-5987

Mailing address

PO Box 1742
Rancho Cucamonga, CA 91729-1742

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X94375 (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 1154946952

Carlos Joel Gaytan, LCSW's National Provider Identifier is 1154946952, issued on Jun 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jun 8, 2020.