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

The Bodhi Tree, a Licensed Clinical Social Worker Corp

Organization Clinical Social Worker · NPI 1831894963

The Bodhi Tree, a Licensed Clinical Social Worker Corp is a Clinical Social Worker in Yucca Valley, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7355 Church St Ste A
Yucca Valley, CA 92284-3273
Phone: (760) 517-3377
Fax: (760) 517-3377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1831894963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Nyman — President/Lead Therapist · (949) 294-8627
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address7355 Church St Ste A, Yucca Valley, CA 92284-3273

Other providers in Yucca Valley