Individual provider · Type 1 NPI

Jack Duane Edmondson, LCSW

Clinical Social Worker · Poway, CA

NPI number 1093987166 Active

Practice location

14207 Kendra Way
Poway, CA 92064-3330

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1903 (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 1093987166

Jack Duane Edmondson, LCSW's National Provider Identifier is 1093987166, issued on Mar 29, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poway, CA. The record was last updated on Mar 29, 2008.