Individual provider · Type 1 NPI

Javier Martin Panameno Campos, LCSW

Clinical Social Worker · Redlands, CA

NPI number 1255688032 Active

Practice location

255 Terracina Blvd, Suite 204
Redlands, CA 92373-4870

Call (909) 798-1763 Map

Fax (909) 307-6405

Mailing address

16025 Peach Tree Ln
Fontana, CA 92337-1010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 26127 (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 1255688032

Javier Martin Panameno Campos, LCSW's National Provider Identifier is 1255688032, issued on Aug 10, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redlands, CA. The record was last updated on Aug 10, 2012.