Organization · Type 2 NPI

Pacific Wellness Therapy Group, A Licensed Clinical Social Worker Corporation

Clinical Social Worker · Moreno Valley, CA

NPI number 1386558039 Active

Practice location

22866 Maybrook Way
Moreno Valley, CA 92557

Call (951) 289-0135 Map

Mailing address

12625 Frederick St., Ste I-5, #157
Moreno Valley, CA 92553-5235

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 1386558039

Pacific Wellness Therapy Group, A Licensed Clinical Social Worker Corporation's National Provider Identifier is 1386558039, issued on Sep 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moreno Valley, CA. The record was last updated on Sep 30, 2026.