Individual provider · Type 1 NPI

Jynelle Shante Jefferson

Clinical Social Worker · Austin, TX

NPI number 1164932018 Active

Practice location

6101 W Courtyard Dr Ste 2-225
Austin, TX 78730-5044

Call (512) 956-5003 Map

Fax (855) 490-2276

Mailing address

4851 Independence St Ste 200
Wheat Ridge, CO 80033-6712

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1164932018

Jynelle Shante Jefferson's National Provider Identifier is 1164932018, issued on Oct 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Austin, TX. The record was last updated on Apr 7, 2025.