Individual provider · Type 1 NPI

Roberta A. Verdugo, LCSW

Clinical Social Worker · Banning, CA

NPI number 1457581712 Active

Practice location

11555 1/2 Potrero Rd.
Banning, CA 92220

Mailing address

11155 1/2 Potrero Rd,
Banning, CA 92220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLCS 19036 (CA)
Clinical Social Worker Primary 1041C0700XLCS 19036 (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 1457581712

Roberta A. Verdugo, LCSW's National Provider Identifier is 1457581712, issued on Jul 21, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Banning, CA. The record was last updated on Jul 21, 2009.