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DESIRED CHANGE THERAPEUTIC SOLUTIONS A LICENSED CLINICAL SOCIAL WORKER
NPI 1073206975
Social Worker - Clinical in Rialto, CA

Active since May 29, 2023
822 S BREDEN LN, RIALTO, CA 92376(909) 609-6078 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2025, May 29, 2023 (2 updates tracked since 2023).

About Desired Change Therapeutic Solutions A Licensed Clinical Social Worker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIRED CHANGE THERAPEUTIC SOLUTIONS A LICENSED CLINICAL SOCIAL WORKER (NPI 1073206975), doing business as Desired Change Therapeutic Solutions, is a healthcare organization registered as a clinical in Rialto, California and active in the NPI registry since May 2023. The organization lists Deserae Quezada, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073206975
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDESIRED CHANGE THERAPEUTIC SOLUTIONS A LICENSED CLINICAL SOCIAL WORKER
Location Address822 S BREDEN LNRialto, CA 92376-7829
Mailing Address1734 N Riverside Ave Ste 1Rialto, CA 92376-8058 · (909) 329-3399
Phone(909) 609-6078
Organization SubpartNo
Authorized OfficialDeserae QuezadaCeo · (909) 609-6078
Enumeration DateMay 29, 2023
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1073206975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
822 S BREDEN LN, Rialto, CA 92376
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Other Names 1

Doing Business AsDesired Change Therapeutic Solutions

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB RYAN WORRELL AMFT
Marriage & Family Therapist
822 S BREDEN LN
RIALTO, CA 92376
San Bernardino County (909) 329-3399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desired Change Therapeutic Solutions A Licensed Clinical Social Worker's NPI number?

The NPI number for Desired Change Therapeutic Solutions A Licensed Clinical Social Worker is 1073206975. It was assigned to this organization in the NPPES registry on May 29, 2023. The provider is doing business as Desired Change Therapeutic Solutions.

Where is Desired Change Therapeutic Solutions A Licensed Clinical Social Worker located?

Desired Change Therapeutic Solutions A Licensed Clinical Social Worker is located at 822 S Breden Ln, Rialto, CA 92376. The listed phone number is (909) 609-6078.

What is Desired Change Therapeutic Solutions A Licensed Clinical Social Worker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Desired Change Therapeutic Solutions A Licensed Clinical Social Worker was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.