Individual provider · Type 1 NPI
Shane' S. Bundy, ACSW
Clinical Social Worker · Moreno Valley, CA
Practice location
25345 Woodcreek Ct
Moreno Valley, CA 92553-4445
Mailing address
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 89911 (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 1679273445
Shane' S. Bundy, ACSW's National Provider Identifier is 1679273445, issued on Mar 9, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moreno Valley, CA. The record was last updated on Mar 9, 2023.