Individual provider · Type 1 NPI

Gabrielle N. Kubulan-Simmons, LCSW

Clinical Social Worker · Covina, CA

NPI number 1780164061 Active

Practice location

4740 N Grand Ave
Covina, CA 91724-2005

Call (626) 859-2089 Map

Fax (626) 859-6537

Mailing address

160 E 3rd St Apt C
Pomona, CA 91766-1803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XACSW83821 (CA)
Clinical Social Worker Primary 1041C0700X114653 (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 1780164061

Gabrielle N. Kubulan-Simmons, LCSW's National Provider Identifier is 1780164061, issued on Aug 16, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Covina, CA. The record was last updated on Jun 23, 2023.