Individual provider · Type 1 NPI

Jeralyn E. Bolanos, LCSW

Clinical Social Worker · Cerritos, CA

NPI number 1922586072 Active

Practice location

11050 Artesia Blvd Ste F
Cerritos, CA 90703-2542

Fax (562) 860-0248

Other practice locations

  • 333 S Beaudry Ave, Los Angeles, CA 90017-1466 · (213) 241-3841

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X97310 (CA)
Social Worker 104100000XACSW97310 (CA)
Clinical Social Worker 1041C0700XACSW97310 (CA)
Clinical Social Worker Primary 1041C0700XLCSW118720 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1922586072

Jeralyn E. Bolanos, LCSW's National Provider Identifier is 1922586072, issued on Jul 31, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cerritos, CA. The record was last updated on Dec 7, 2023.