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

Individual provider Clinical Social Worker · NPI 1982068730

Mauricio Cuervo Bautista, LCSW is a Clinical Social Worker in Elizabeth, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
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

1206 Mary St
Elizabeth, NJ 07201-1025
Phone: (908) 578-5120
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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 44SC05526600 (NJ)

Record details

NPI number1982068730
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 7, 2016

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