Individual provider · Type 1 NPI

Mayra Mireles Jacobo

Clinical Social Worker · Roseville, CA

NPI number 1033013370 Active

Practice location

101 Cirby Hills Dr
Roseville, CA 95678-4360

Call (916) 787-8867 Map

Mailing address

7417 Saxon Way
Sacramento, CA 95842-1531

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1033013370

Mayra Mireles Jacobo's National Provider Identifier is 1033013370, issued on Oct 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, CA. The record was last updated on Oct 7, 2026.