YOUR LIFE SERVICE LEAGUE LICENSED CLINICAL SOCIAL WORKER APC
NPI 1669086013
Social Worker - Clinical in Pomona, CA

Active since September 03, 2020
435 W MISSION BLVD STE 301, POMONA, CA 91766(951) 850-1574 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2022, Sep 3, 2020 (2 updates tracked since 2020).

About Your Life Service League Licensed Clinical Social Worker Apc NPPES

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

YOUR LIFE SERVICE LEAGUE LICENSED CLINICAL SOCIAL WORKER APC (NPI 1669086013) is a healthcare organization registered as a clinical in Pomona, California and active in the NPI registry since September 2020. The organization lists Landon Derrick Hallbrooks, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1669086013
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameYOUR LIFE SERVICE LEAGUE LICENSED CLINICAL SOCIAL WORKER APC
Location Address435 W MISSION BLVD STE 301Pomona, CA 91766-1632
Mailing Address300 S Park Ave Ste 820Pomona, CA 91766-1501 · (951) 850-1574
Organization SubpartNo
Authorized OfficialLandon Derrick HallbrooksChief Executive Officer · (951) 850-1574
Enumeration DateSeptember 3, 2020
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1669086013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
435 W MISSION BLVD STE 301, Pomona, CA 91766

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
435 W MISSION BLVD STE 301
POMONA, CA 91766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669086013, enumerated as an "organization" on September 03, 2020.

The provider is located at 435 W MISSION BLVD STE 301 POMONA, CA 91766 and the phone number is (951) 850-1574.

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