Individual provider · Type 1 NPI
Jacob Burton Wickenheiser, L.C.S.W.
Clinical Social Worker · Sacramento, CA
Practice location
1526 Waterwheel Dr
Sacramento, CA 95833-2390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 26297 (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 1205958980
Jacob Burton Wickenheiser, L.C.S.W.'s National Provider Identifier is 1205958980, issued on Apr 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Sep 22, 2022.