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

Gloria Bautista

Individual provider Clinical Social Worker · NPI 1124860432

Gloria Bautista is a Clinical Social Worker in Banning, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

940 E Williams St Ste 102
Banning, CA 92220-5848
Phone: (951) 588-2553
Fax: (951) 755-8992
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122706 (CA)

Record details

NPI number1124860432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address940 E Williams St Ste 102, Banning, CA 92220-5848

Other providers in Banning