Individual provider · Type 1 NPI

Jacqueline Daphnee Surpin

Clinical Social Worker · Santa Clara, CA

NPI number 1164908554 Active

Practice location

5201 Great America Pkwy
Santa Clara, CA 95054-1122

Call (323) 205-7088 Map

Mailing address

730 Medical Center Ct
Chula Vista, CA 91911-6618

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700X126551 (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 1164908554

Jacqueline Daphnee Surpin's National Provider Identifier is 1164908554, issued on Jul 18, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Clara, CA. The record was last updated on Jan 29, 2025.