Individual provider · Type 1 NPI

Rosanna Gustafson

Clinical Social Worker · San Bernardino, CA

NPI number 1669874202 Active

Practice location

900 E Gilbert St Cottage # 4
San Bernardino, CA 92415-0920

Call (909) 387-7020 Map

Fax (909) 387-7611

Mailing address

26001 Redlands Blvd
Redlands, CA 92373-7762

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X37127 (CA)
Clinical Social Worker Primary 1041C0700X82654 (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 1669874202

Rosanna Gustafson's National Provider Identifier is 1669874202, issued on Sep 25, 2014. 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 2, 2025.