BERTHA ALICIA BANUELOS LCSW, PPSC
NPI 1386503936
Social Worker - Clinical in Los Angeles, CA

Active since January 20, 2026
3026 MALABAR ST, LOS ANGELES, CA 90063(323) 973-3691 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bertha Alicia Banuelos Lcsw, Ppsc NPPES

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

BERTHA ALICIA BANUELOS LCSW, PPSC (NPI 1386503936) is an individual clinical provider in Los Angeles, California, licensed in California (130628) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1386503936
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBERTHA ALICIA BANUELOSCredential: LCSW, PPSC
Location Address3026 MALABAR STLos Angeles, CA 90063-4017
Mailing Address3026 Malabar StLos Angeles, CA 90063-4017 · (323) 973-3691
Sole ProprietorYes
Enumeration DateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
NPI 1386503936 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 · 130628
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.
3026 MALABAR ST, Los Angeles, CA 90063

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

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 Bertha Banuelos's NPI number?

The NPI number for Bertha Banuelos is 1386503936. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Bertha Banuelos located?

Bertha Banuelos practices at 3026 Malabar St, Los Angeles, CA 90063. The listed phone number is (323) 973-3691.

What is Bertha 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 Bertha Banuelos was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.