Individual provider · Type 1 NPI
Jacquelyn Summers, PhD, MPH, MSW
Clinical Social Worker · Coronado, CA
Practice location
915 I Ave
Coronado, CA 92118-2449
Mailing address
PO Box 181171
Coronado, CA 92178-1171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW17167 (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 1104361203
Jacquelyn Summers, PhD, MPH, MSW's National Provider Identifier is 1104361203, issued on Dec 27, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coronado, CA. The record was last updated on Dec 28, 2016.