Individual provider · Type 1 NPI

Genevieve Marilyn Banegas, LCSW, PPSC

Clinical Social Worker · Fort Bragg, CA

NPI number 1821340480 Active

Practice location

205 South St
Fort Bragg, CA 95437

Call (707) 961-3492 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X77553 (CA)
Rehabilitation Practitioner 225400000XNone listed

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…

48 other providers at this address

Other clinical social worker providers in Fort Bragg

See all in Fort Bragg →

About NPI 1821340480

Genevieve Marilyn Banegas, LCSW, PPSC's National Provider Identifier is 1821340480, issued on Oct 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Bragg, CA. The record was last updated on Sep 4, 2026.