Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanita Bourne Licensed Clinical Social Worker Inc

Organization Clinical Social Worker · NPI 1861095671

Kanita Bourne Licensed Clinical Social Worker Inc is a Clinical Social Worker in Rancho Cucamonga, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10601 Civic Center Dr # 100AD
Rancho Cucamonga, CA 91730-3878
Phone: (909) 520-7949
Fax: (909) 614-8012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1861095671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kanita Bourne — Owner · (909) 520-7949
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address2910 S Archibald Ave, Suite A #222, Ontario, CA 91761

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