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KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.
NPI 1861095671
Social Worker - Clinical in Rancho Cucamonga, CA

Active since November 16, 2020
10601 CIVIC CENTER DR # 100AD, RANCHO CUCAMONGA, CA 91730(909) 520-7949(909) 614-8012 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanita Bourne Licensed Clinical Social Worker Inc. NPPES

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

KANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC. (NPI 1861095671) is a healthcare organization registered as a clinical in Rancho Cucamonga, California and active in the NPI registry since November 2020. The organization lists Kanita Bourne, Owner, as its authorized official.

NPPES Registry Identity

NPI1861095671
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKANITA BOURNE LICENSED CLINICAL SOCIAL WORKER INC.
Location Address10601 CIVIC CENTER DR # 100ADRancho Cucamonga, CA 91730-3878
Mailing Address2910 S Archibald Ave, Suite A #222Ontario, CA 91761 · (909) 520-7949
Phone(909) 520-7949
Fax(909) 614-8012
Organization SubpartNo
Authorized OfficialKanita BourneOwner · (909) 520-7949
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1861095671 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.
10601 CIVIC CENTER DR # 100AD, Rancho Cucamonga, CA 91730
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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

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 Kanita Bourne Licensed Clinical Social Worker Inc.'s NPI number?

The NPI number for Kanita Bourne Licensed Clinical Social Worker Inc. is 1861095671. It was assigned to this organization in the NPPES registry on November 16, 2020.

Where is Kanita Bourne Licensed Clinical Social Worker Inc. located?

Kanita Bourne Licensed Clinical Social Worker Inc. is located at 10601 Civic Center Dr # 100ad, Rancho Cucamonga, CA 91730. The listed phone number is (909) 520-7949.

What is Kanita Bourne 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 Kanita Bourne Licensed Clinical Social Worker Inc. was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.