Therablossom Licensed Clinical Social Worker, PC
NPI #1518823921 in San Bernardino, California
Provider Information
- NPI Number
- 1518823921
- Entity Type
- Organization
- Organization Name
- Therablossom Licensed Clinical Social Worker, PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 30, 2025
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 473 E CARNEGIE DR
- Address 2
- SUITE 200
- City
- San Bernardino
- State
- California
- ZIP Code
- 92408
- Phone
- (909) 255-0230
Authorized Official
- Name
- MR. CHASE VINCENT URIBE, LCSW
- Title
- CEO
- Phone
- (909) 206-2940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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