Individual provider · Type 1 NPI

Patricia Carrillo

Clinical Social Worker · Moreno Valley, CA

NPI number 1700790532 Active

Practice location

12968 Frederick St Ste A
Moreno Valley, CA 92553-5229

Mailing address

PO Box 1273
Sun City, CA 92585-0273

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW133382 (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 1700790532

Patricia Carrillo's National Provider Identifier is 1700790532, issued on Sep 29, 2026. 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 Sep 29, 2026.