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JASMINE M CARRILLO-BAUTISTA ACSW
NPI 1366092520
Social Worker - Clinical in Long Beach, CA

Active since September 18, 2019
1301 PINE AVE, LONG BEACH, CA 90813(562) 595-1159 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 11, 2024, Nov 10, 2021, Apr 30, 2021 and 2 more (5 updates tracked since 2019).

About Jasmine M Carrillo-bautista Acsw NPPES

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

JASMINE M CARRILLO-BAUTISTA ACSW (NPI 1366092520) is an individual clinical provider in Long Beach, California, licensed in California (LCSW127530) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1366092520
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJASMINE M CARRILLO-BAUTISTACredential: ACSW
Location Address1301 PINE AVELong Beach, CA 90813-3124
Mailing Address901 W Victoria St Ste F&gCompton, CA 90220-5807 · (310) 669-9510 · Fax (310) 669-9501
Phone(562) 595-1159
Sole ProprietorNo
Enumeration DateSeptember 18, 2019
Last NPPES UpdateDecember 11, 20245 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1366092520 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 · LCSW127530
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.
1301 PINE AVE, Long Beach, CA 90813
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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.

DR. EMILY LOUISE MINTER STAVAS PSYD.
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. CHLOE RUSSELL PSY.D.
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. MINDY MUELLER PSYD
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1713
KRISTIN SIMONE MCNEESE
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 833-3502
TERESA GUILLEN
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1704
SARIKA BAHL M.A.
Student in an Organized Health Care Education/Training Program
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. JOHN NICHOLAS LEGGIO
Rehabilitation Counselor
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
GABRIELA SINOHUI
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159

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 Jasmine Carrillo-bautista's NPI number?

The NPI number for Jasmine Carrillo-bautista is 1366092520. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Jasmine Carrillo-bautista located?

Jasmine Carrillo-bautista practices at 1301 Pine Ave, Long Beach, CA 90813. The listed phone number is (562) 595-1159.

What is Jasmine Carrillo-bautista'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 Jasmine Carrillo-bautista was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.