Individual provider · Type 1 NPI

Jill Shannon Gordy-Moody, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1295778389 Active

Practice location

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Call (858) 552-8585 Map

Mailing address

154 Diana St
Encinitas, CA 92024-1401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005864 (VA)

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 1295778389

Jill Shannon Gordy-Moody, LCSW's National Provider Identifier is 1295778389, issued on Jun 14, 2006. 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 Aug 29, 2013.