Individual provider · Type 1 NPI
Alexandra Banuelos
Clinical Social Worker · Lynwood, CA
Practice location
2640 Industry Way
Lynwood, CA 90262-4284
Other practice locations
- 1301 Pine Ave, Long Beach, CA 90813-3124 · (562) 595-1159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 96790 (CA) |
| Clinical Social Worker | 1041C0700X | 96790 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 143409 (CA) |
| Rehabilitation Practitioner | 225400000X | None 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 1346996972
Alexandra Banuelos's National Provider Identifier is 1346996972, issued on Feb 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lynwood, CA. The record was last updated on Nov 2, 2026.