Individual provider · Type 1 NPI
Jessica Anne Gennaro, LCSW
Clinical Social Worker · Phoenix, AZ
Practice location
2302 N 75th Ave
Phoenix, AZ 85035-1216
Mailing address
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 17290 (CO) |
| Clinical Social Worker Primary | 1041C0700X | LCSW-17290 (AZ) |
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 1285104372
Jessica Anne Gennaro, LCSW's National Provider Identifier is 1285104372, issued on Nov 30, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 3, 2021.