Individual provider · Type 1 NPI

Jaelyn May Fernandez Obana

Clinical Social Worker · San Diego, CA

NPI number 1073221032 Active

Practice location

8775 Aero Dr Ste 132
San Diego, CA 92123-1779

Mailing address

8775 Aero Dr
San Diego, CA 92123-1792

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1073221032

Jaelyn May Fernandez Obana's National Provider Identifier is 1073221032, issued on Nov 9, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 11, 2025.