Individual provider · Type 1 NPI

Phuong Pham-Martinez

Clinical Social Worker · San Jacinto, CA

NPI number 1639665458 Active

Practice location

1370 S State St Ste A
San Jacinto, CA 92583-4922

Call (951) 791-3350 Map

Mailing address

31629 Navy Sky Dr
Menifee, CA 92584-0508

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW126545 (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 1639665458

Phuong Pham-Martinez's National Provider Identifier is 1639665458, issued on Jul 4, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jacinto, CA. The record was last updated on May 18, 2026.