Individual provider · Type 1 NPI

Kennyanna Jefferson

Clinical Social Worker · Fontana, CA

NPI number 1114540598 Active

Practice location

17053 Foothill Blvd
Fontana, CA 92335-3574

Call (909) 347-1300 Map

Fax (909) 347-1302

Mailing address

850 E Foothill Blvd
Rialto, CA 92376-5230

Other practice locations

  • 850 E Foothill Blvd, Rialto, CA 92376-5230 · (909) 420-9472

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X102016 (CA)
Social Worker 104100000XASW102016 (CA)
Clinical Social Worker Primary 1041C0700X127688 (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 1114540598

Kennyanna Jefferson's National Provider Identifier is 1114540598, issued on May 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fontana, CA. The record was last updated on Dec 27, 2024.