Individual provider · Type 1 NPI

Mariela Licon, LCSW

Clinical Social Worker · San Bernardino, CA

NPI number 1497201602 Active

Practice location

1500 N Waterman Ave
San Bernardino, CA 92404-5111

Call (909) 703-4099 Map

Other practice locations

  • 10000 County Farm Rd, Riverside, CA 92503-3508 · (951) 358-4400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW131192 (CA)
Clinical Social Worker 1041C0700X131192 (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…

8 other providers at this address

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About NPI 1497201602

Mariela Licon, LCSW's National Provider Identifier is 1497201602, issued on Aug 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 11, 2025.