Individual provider · Type 1 NPI

Portia Gerardo Bautista, L.C.S.W.

Clinical Social Worker · Vallejo, CA

NPI number 1700937273 Active

Practice location

333 Beston Way
Vallejo, CA 94591-7205

Fax (707) 554-0621

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS7310 (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 1700937273

Portia Gerardo Bautista, L.C.S.W.'s National Provider Identifier is 1700937273, issued on Jan 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vallejo, CA. The record was last updated on Jul 8, 2007.