Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kanita Bourne Licensed Clinical Social Worker Inc

Organization Clinical Social Worker · NPI 1861095671

Kanita Bourne Licensed Clinical Social Worker Inc provides Clinical Social Worker services in Rancho Cucamonga, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10601 Civic Center Dr # 100AD
Rancho Cucamonga, CA 91730-3878
Phone: (909) 520-7949
Fax: (909) 614-8012
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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

Record details

NPI number1861095671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kanita Bourne — Owner · (909) 520-7949
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address2910 S Archibald Ave, Suite A #222, Ontario, CA 91761

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