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

Jenifer Gonzalez Banuelos

Individual provider Clinical Social Worker · NPI 1083468979

Jenifer Gonzalez Banuelos is a Clinical Social Worker in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3075 Myers St
Riverside, CA 92503-5525
Phone: (951) 358-4625
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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 122392 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 122392 (CA)

Record details

NPI number1083468979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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