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THE BODHI TREE, A LICENSED CLINICAL SOCIAL WORKER CORP
NPI 1831894963
Social Worker - Clinical in Yucca Valley, CA

Active since March 30, 2023
7355 CHURCH ST STE A, YUCCA VALLEY, CA 92284(760) 517-3377(760) 517-3377 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Bodhi Tree, A Licensed Clinical Social Worker Corp NPPES

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

THE BODHI TREE, A LICENSED CLINICAL SOCIAL WORKER CORP (NPI 1831894963) is a healthcare organization registered as a clinical in Yucca Valley, California and active in the NPI registry since March 2023. The organization lists Brad K Nyman, President/lead Therapist, as its authorized official.

NPPES Registry Identity

NPI1831894963
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE BODHI TREE, A LICENSED CLINICAL SOCIAL WORKER CORP
Location Address7355 CHURCH ST STE AYucca Valley, CA 92284-3273
Mailing Address7355 Church St Ste AYucca Valley, CA 92284-3273 · (760) 517-3377 · Fax (760) 517-3377
Phone(760) 517-3377
Fax(760) 517-3377
Organization SubpartNo
Authorized OfficialBrad K NymanPresident/lead Therapist · (949) 294-8627
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1831894963 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.
7355 CHURCH ST STE A, Yucca Valley, CA 92284
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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 2

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

ALISON IWASKOW LMFT
Marriage & Family Therapist
7355 CHURCH ST STE A
YUCCA VALLEY, CA 92284
San Bernardino County (760) 517-3377
MR. BRAD K NYMAN LCSW
Social Worker (Clinical)
7355 CHURCH ST STE A
YUCCA VALLEY, CA 92284
San Bernardino County (949) 294-8627

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 The Bodhi Tree, A Licensed Clinical Social Worker Corp's NPI number?

The NPI number for The Bodhi Tree, A Licensed Clinical Social Worker Corp is 1831894963. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is The Bodhi Tree, A Licensed Clinical Social Worker Corp located?

The Bodhi Tree, A Licensed Clinical Social Worker Corp is located at 7355 Church St Ste A, Yucca Valley, CA 92284. The listed phone number is (760) 517-3377.

What is The Bodhi Tree, A Licensed Clinical Social Worker Corp'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 The Bodhi Tree, A Licensed Clinical Social Worker Corp was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.