Individual provider · Type 1 NPI

Raquel Bautista

Clinical Social Worker · San Diego, CA

NPI number 1306347430 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850

Fax (619) 398-0350

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1306347430

Raquel Bautista's National Provider Identifier is 1306347430, issued on Feb 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 13, 2025.