Individual provider · Type 1 NPI

Ryan Ronquillo

Clinical Social Worker · Vista, CA

NPI number 1376255133 Active

Practice location

969 S Santa Fe Ave Ste C
Vista, CA 92083-6910

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X99830 (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 1376255133

Ryan Ronquillo's National Provider Identifier is 1376255133, issued on Dec 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vista, CA. The record was last updated on Dec 24, 2025.