Organization · Type 2 NPI

Kanita Bourne Licensed Clinical Social Worker Inc.

Clinical Social Worker · Rancho Cucamonga, CA

NPI number 1861095671 Active

Practice location

10601 Civic Center Dr # 100AD
Rancho Cucamonga, CA 91730-3878

Fax (909) 614-8012

Mailing address

2910 S Archibald Ave, Suite A #222
Ontario, CA 91761

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1861095671

Kanita Bourne Licensed Clinical Social Worker Inc.'s National Provider Identifier is 1861095671, issued on Nov 16, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Nov 16, 2020.