Individual provider · Type 1 NPI

Kelly Ann Jimenez

Clinical Social Worker · Fontana, CA

NPI number 1003567553 Active

Practice location

14677 Merrill Ave
Fontana, CA 92335-4219

Call (951) 643-2340 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X123831 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003567553

Kelly Ann Jimenez's National Provider Identifier is 1003567553, issued on Jan 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fontana, CA. The record was last updated on Jul 25, 2024.