Individual provider · Type 1 NPI

Evelyn Banuelos

Clinical Social Worker · Santa Ana, CA

NPI number 1205787041 Active

Practice location

2112 E 4th St Ste 218E
Santa Ana, CA 92705-3840

Call (213) 222-6553 Map

Mailing address

PO Box 236
Paramount, CA 90723-0236

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	ASW135077 (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 1205787041

Evelyn Banuelos's National Provider Identifier is 1205787041, issued on Feb 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Ana, CA. The record was last updated on Feb 6, 2026.