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

Eric Bahra, LCSW

Individual provider Clinical Social Worker · NPI 1053887117

Eric Bahra, LCSW is a Clinical Social Worker in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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

14390 Park Ave
Victorville, CA 92392-2310
Phone: (714) 290-3009
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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 LCSW85967 (CA)

Record details

NPI number1053887117
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 16, 2018
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 1493, Placentia, CA 92871-9493

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