Individual provider · Type 1 NPI
Sergio A. Ibanez, CM
Clinical Social Worker · San Diego, CA
Practice location
4361 Newton Ave
San Diego, CA 92113-3430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 114575 (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 1972021152
Sergio A. Ibanez, CM's National Provider Identifier is 1972021152, issued on Sep 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Mar 19, 2025.