Individual provider · Type 1 NPI

Jeremy David Bailey, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1184082109 Active

Practice location

120 D St
Santa Rosa, CA 95404-4732

Fax (510) 756-0812

Mailing address

781 Hoen Ct
Santa Rosa, CA 95405-6720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102807 (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 1184082109

Jeremy David Bailey, LCSW's National Provider Identifier is 1184082109, issued on Feb 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 29, 2021.