Individual provider · Type 1 NPI

Jacqueline Anita Small

Clinical Social Worker · San Diego, CA

NPI number 1215069299 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

3020 Children's Way MC5100
San Diego, CA 92123

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW21926 (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 1215069299

Jacqueline Anita Small's National Provider Identifier is 1215069299, issued on Mar 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Mar 3, 2021.