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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WHOLISTIC HEALING LICENSED CLINICAL SOCIAL WORKER INC
NPI 1619715711
Social Worker - Clinical in Ontario, CA

Active since July 15, 2024
4684 ONTARIO MILLS PKWY STE 200, ONTARIO, CA 91764(909) 667-0896(909) 966-4836 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Sep 19, 2025, Jul 15, 2024 (3 updates tracked since 2024).

About Wholistic Healing Licensed Clinical Social Worker Inc NPPES

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

WHOLISTIC HEALING LICENSED CLINICAL SOCIAL WORKER INC (NPI 1619715711) is a healthcare organization registered as a clinical in Ontario, California and active in the NPI registry since July 2024. The organization lists Sally Amaya, President/owner, as its authorized official.

NPPES Registry Identity

NPI1619715711
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWHOLISTIC HEALING LICENSED CLINICAL SOCIAL WORKER INC
Location Address4684 ONTARIO MILLS PKWY STE 200Ontario, CA 91764-5151
Mailing Address4684 Ontario Mills Pkwy Ste 200Ontario, CA 91764-5151 · (626) 201-3569 · Fax (909) 966-4836
Phone(909) 667-0896
Fax(909) 966-4836
Organization SubpartNo
Authorized OfficialSally AmayaPresident/owner · (626) 201-3569
Enumeration DateJuly 15, 2024
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1619715711 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.
4684 ONTARIO MILLS PKWY STE 200, Ontario, CA 91764
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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 4

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

MISS SALLY AMAYA LCSW
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (909) 667-0896
MRS. MELISSA LOU KOERNER LCSW
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (941) 777-0868
MARIA JARAMILLO LCSW
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (951) 337-7646
LAUREN ALISSA MARINERO
Social Worker (Clinical)
4684 ONTARIO MILLS PKWY STE 200
ONTARIO, CA 91764
San Bernardino County (909) 321-6565

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 Wholistic Healing Licensed Clinical Social Worker Inc's NPI number?

The NPI number for Wholistic Healing Licensed Clinical Social Worker Inc is 1619715711. It was assigned to this organization in the NPPES registry on July 15, 2024.

Where is Wholistic Healing Licensed Clinical Social Worker Inc located?

Wholistic Healing Licensed Clinical Social Worker Inc is located at 4684 Ontario Mills Pkwy Ste 200, Ontario, CA 91764. The listed phone number is (909) 667-0896.

What is Wholistic Healing Licensed Clinical Social Worker Inc'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 Wholistic Healing Licensed Clinical Social Worker Inc was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.