KIMBERLY FUENTES ASW
NPI 1104483320
Social Worker - Clinical in Riverside, CA

Active since May 22, 2019
3075 MYERS ST BLDG 1, RIVERSIDE, CA 92503(951) 358-6895 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2024, Nov 6, 2023, Nov 2, 2023 and 1 more (4 updates tracked since 2019).

About Kimberly Fuentes Asw NPPES

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

KIMBERLY FUENTES ASW (NPI 1104483320) is an individual clinical provider in Riverside, California, licensed in California (115412) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1104483320
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY FUENTESCredential: ASW
Location Address3075 MYERS ST BLDG 1Riverside, CA 92503-5525
Mailing Address3075 Myers St Bldg 1Riverside, CA 92503-5525 · (951) 358-6895
Sole ProprietorNo
Enumeration DateMay 22, 2019
Last NPPES UpdateMarch 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1104483320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 115412
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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3075 MYERS ST BLDG 1, Riverside, CA 92503

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Case Manager/Care Coordinator
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Social Worker
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Social Worker
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503
Social Worker (Clinical)
3075 MYERS ST BLDG 1
RIVERSIDE, CA 92503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104483320, enumerated as an "individual" on May 22, 2019.

The provider is located at 3075 MYERS ST BLDG 1 RIVERSIDE, CA 92503 and the phone number is (951) 358-6895.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.