Individual provider · Type 1 NPI

Melinda Ruby Ancrum, LCSW

Clinical Social Worker · Rialto, CA

NPI number 1922140573 Active

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Call (909) 421-9495 Map

Mailing address

PO Box 10641
San Bernardino, CA 92423-0641

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 27467 (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 1922140573

Melinda Ruby Ancrum, LCSW's National Provider Identifier is 1922140573, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rialto, CA. The record was last updated on Feb 21, 2012.