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MR. MICHAEL ANTHONY BANUELOS MSW
NPI 1205560703
Social Worker - Clinical in Pomona, CA

Active since July 12, 2022
1900 ROYALTY DR STE 180, POMONA, CA 91767(909) 766-7340 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Jul 12, 2022 (2 updates tracked since 2022).

About Mr. Michael Anthony Banuelos Msw NPPES

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

MR. MICHAEL ANTHONY BANUELOS MSW (NPI 1205560703) is an individual clinical provider in Pomona, California, licensed in California (ASW123584) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1205560703
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL ANTHONY BANUELOSCredential: MSW
Location Address1900 ROYALTY DR STE 180Pomona, CA 91767-3046
Mailing Address1900 Royalty Dr Ste 180Pomona, CA 91767-3046 · (909) 766-7353
Phone(909) 766-7340
Sole ProprietorNo
Enumeration DateJuly 12, 2022
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1205560703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · ASW123584
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.
1900 ROYALTY DR STE 180, Pomona, CA 91767
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Other Providers at the Same Location NPPES 20

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

YVETTE BARRIGA
Marriage & Family Therapist
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7340
MS. STEPHANIE HERNANDEZ ENCISO LCSW
Social Worker (Clinical)
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7340
JENNIFER CHAHINE
Social Worker (Clinical)
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7340
KEITH COLDER
Peer Specialist
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7340
VAN MY TONG
Social Worker (Clinical)
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7340
JENNIFER RODRIGUEZ
Marriage & Family Therapist
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7340
CYNTHIA GARCIA
Community Health Worker
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 766-7322
AMY LYNN MADDIGAN L.C.S.W.
Social Worker (Clinical)
1900 ROYALTY DR STE 180
POMONA, CA 91767
Los Angeles County (909) 623-6131

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 Michael Banuelos's NPI number?

The NPI number for Michael Banuelos is 1205560703. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Michael Banuelos located?

Michael Banuelos practices at 1900 Royalty Dr Ste 180, Pomona, CA 91767. The listed phone number is (909) 766-7340.

What is Michael Banuelos'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 Michael Banuelos was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.