Individual provider · Type 1 NPI

Jennifer Michelle Bazan, ACSW

Clinical Social Worker · Northridge, CA

NPI number 1245844653 Active

Practice location

9650 Zelzah Ave
Northridge, CA 91325-2003

Call (818) 993-9311 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X106123 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Rehabilitation Practitioner 225400000XNone 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 1245844653

Jennifer Michelle Bazan, ACSW's National Provider Identifier is 1245844653, issued on Sep 2, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northridge, CA. The record was last updated on Aug 3, 2026.