Individual provider · Type 1 NPI

Jhonathan E. Fajardo

Clinical Social Worker · Banning, CA

NPI number 1699562785 Active

Practice location

1330 W Ramsey St
Banning, CA 92220-4477

Mailing address

1151 Little Leaf St
Calimesa, CA 92320-4906

Other practice locations

  • 47915 Oasis St, Indio, CA 92201-6950 · (760) 863-8600

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW143168 (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 1699562785

Jhonathan E. Fajardo's National Provider Identifier is 1699562785, issued on Apr 22, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Banning, CA. The record was last updated on Nov 2, 2026.