Individual provider · Type 1 NPI

Jasmine M. Carrillo-Bautista, ACSW

Clinical Social Worker · Long Beach, CA

NPI number 1366092520 Active

Practice location

1301 Pine Ave
Long Beach, CA 90813-3124

Call (562) 595-1159 Map

Mailing address

901 W Victoria St Ste F&g
Compton, CA 90220-5807

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW127530 (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 1366092520

Jasmine M. Carrillo-Bautista, ACSW's National Provider Identifier is 1366092520, issued on Sep 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Long Beach, CA. The record was last updated on Dec 11, 2024.