Individual provider · Type 1 NPI

Jean Anne Carll, LCSW

Clinical Social Worker · Roseville, CA

NPI number 1104327154 Active

Practice location

4033 Jerome Way
Roseville, CA 95747-9586

Fax (916) 612-4744

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	79325 (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 1104327154

Jean Anne Carll, LCSW's National Provider Identifier is 1104327154, issued on Feb 26, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseville, CA. The record was last updated on Feb 26, 2018.