Individual provider · Type 1 NPI

Mayra Licano, LCSW

School Social Worker · Bakersfield, CA

NPI number 1760042535 Active

Practice location

4200 Ashe Rd
Bakersfield, CA 93313-2029

Mailing address

9821 Pocohontas Ln
Bakersfield, CA 93311-4604

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW103880 (CA)
School Social Worker Primary 1041S0200XLCSW103880 (CA)

School Social Worker: Definition to come...

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About NPI 1760042535

Mayra Licano, LCSW's National Provider Identifier is 1760042535, issued on Jun 14, 2019. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Bakersfield, CA. The record was last updated on Feb 7, 2024.