Individual provider · Type 1 NPI

Melissa Banuelos

Clinical Social Worker · Los Angeles, CA

NPI number 1508470071 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 395-7100 Map

Mailing address

872 W Bonita Ave Apt 123
Claremont, CA 91711-4178

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 1508470071

Melissa Banuelos's National Provider Identifier is 1508470071, issued on Sep 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 20, 2025.