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

Jacqueline Alejandra Bautista, MSW

Individual provider Clinical Social Worker · NPI 1194440651

Jacqueline Alejandra Bautista, MSW is a Clinical Social Worker in Victorville, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

14344 Cajon Ave Ste 102
Victorville, CA 92392-4301
Phone: (760) 243-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 112865 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ASW112865 (CA)

Record details

NPI number1194440651
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedOctober 7, 2022
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

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