Individual provider · Type 1 NPI

Lazaro Renteria Jr., LCSW137110

Clinical Social Worker · Coachella, CA

NPI number 1639890916 Active

Practice location

49211 Grapefruit Blvd Ste 5&6
Coachella, CA 92236-1480

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X137110 (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 1639890916

Lazaro Renteria Jr., LCSW137110's National Provider Identifier is 1639890916, issued on Sep 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coachella, CA. The record was last updated on Apr 8, 2026.