Individual provider · Type 1 NPI

Kimberly Soto Banuelos

Clinical Social Worker · Pomona, CA

NPI number 1598697831 Active

Practice location

2008 N Garey Ave
Pomona, CA 91767-2722

Call (909) 623-6131 Map

Fax (909) 865-9281

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XF7651541 (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 1598697831

Kimberly Soto Banuelos's National Provider Identifier is 1598697831, issued on Jun 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pomona, CA. The record was last updated on Jun 1, 2026.