Alexandra Banuelos
Social Worker, Clinical in Lynwood, CA. Individual provider (NPI-1).
NPI number1346996972
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1346996972
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Banuelos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2022
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 143409 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 96790 | CA | |
| 1041C0700X | Social Worker, Clinical | 96790 | CA | |
| 225400000X | Rehabilitation Practitioner | – | CA |
Practice location
2640 Industry WayLynwood, CA 90262-4284
Phone 310-627-4525
Mailing address
2640 Industry WayLynwood, CA 90262-4284
Phone 310-627-4525
Other practice locations
1301 Pine Ave
Long Beach, CA 90813-3124
Long Beach, CA 90813-3124
Phone 562-595-1159
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