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

Jasmine M Carrillo-Bautista, ACSW

Individual provider Clinical Social Worker · NPI 1366092520

Jasmine M Carrillo-Bautista, ACSW is a Clinical Social Worker in Long Beach, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1301 Pine Ave
Long Beach, CA 90813-3124
Phone: (562) 595-1159
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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 LCSW127530 (CA)

Record details

NPI number1366092520
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

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