Individual provider · Type 1 NPI

Stella Tan

Clinical Social Worker · San Bernardino, CA

NPI number 1982169827 Active

Practice location

621 Carnegie Dr Ste 210
San Bernardino, CA 92408-3548

Call (000) 000-0000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW124653 (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 1982169827

Stella Tan's National Provider Identifier is 1982169827, issued on Feb 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bernardino, CA. The record was last updated on May 13, 2026.