Ricardo Banuelos Jr.
Individual provider Active NPI Clinical Social Worker · Duarte, CA
NPI 1548933583 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1548933583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010-3012 - Phone
- (626) 218-2015
- NPI assigned
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
Other practice location 1
333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841
Other providers in Duarte, CA
- Felicia Balzano
- Michael Babon Banawis
- Cornelia G. Banciu-Odell
- Chandana Banerjee
- Sooyeon Bang
- Arielle Barba
- Desiree' Ku'Unani Barba
- Vanessa Valdez Barba
- Brittany Rae Bargen Bradford
- Lorena Barrera
All providers in Duarte, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.