Individual provider · Type 1 NPI

Kathlyn P. Perez-Stable, LCSW

Clinical Social Worker · Rancho Cucamonga, CA

NPI number 1316462484 Active

Practice location

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879

Mailing address

1956 Flamingo Dr
Costa Mesa, CA 92626

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XLCSW125258 (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 1316462484

Kathlyn P. Perez-Stable, LCSW's National Provider Identifier is 1316462484, issued on Aug 9, 2017. 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 Oct 23, 2024.