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

Bertha Alicia Banuelos, LCSW, PPSC

Individual provider Clinical Social Worker · NPI 1386503936

Bertha Alicia Banuelos, LCSW, PPSC is a Clinical Social Worker in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3026 Malabar St
Los Angeles, CA 90063-4017
Phone: (323) 973-3691
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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 · Licence 130628 (CA)

Record details

NPI number1386503936
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PPSC
Sole proprietorYes
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

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