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

The Bodhi Tree, a Licensed Clinical Social Worker Corp

Organization Clinical Social Worker · NPI 1831894963

The Bodhi Tree, a Licensed Clinical Social Worker Corp provides Clinical Social Worker services in Yucca Valley, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7355 Church St Ste A
Yucca Valley, CA 92284-3273
Phone: (760) 517-3377
Fax: (760) 517-3377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1831894963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Nyman — President/Lead Therapist · (949) 294-8627
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address7355 Church St Ste A, Yucca Valley, CA 92284-3273

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