Organization · Type 2 NPI

Youths' Hope Licensed Clinical Social Worker Inc

Clinical Social Worker · San Bernardino, CA

NPI number 1770845497 Active

Practice location

255 N. D Street,, Suite 400
San Bernardino, CA 92401

Call (909) 567-2808 Map

Fax (909) 567-2808

Mailing address

PO Box 264
Pattom, CA 92369-0264

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker Primary	1041C0700X	LCS 18357 (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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NPI record

NPI: 1770845497
Entity type: Organization (Type 2)
Issued: Jun 8, 2012
Last updated: Nov 27, 2019
Status: Active

Other names

<unavail>
Youth Hope Inc · doing business as
Youth Hope Inc · doing business as
Youths' Hope Inc. · former legal business name

Authorized official

Dr. Geoffrey Bestman Ibeabuchi, PhD, LCSW
CEO
(909) 567-2808

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About NPI 1770845497

Youths' Hope Licensed Clinical Social Worker Inc's National Provider Identifier is 1770845497, issued on Jun 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on Nov 27, 2019.