Individual provider · Type 1 NPI

Jenessa Headley

Clinical Social Worker · San Jacinto, CA

NPI number 1316675861 Active

Practice location

1281 N State St Ste A, #106
San Jacinto, CA 92583-6317

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X88752 (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 1316675861

Jenessa Headley's National Provider Identifier is 1316675861, issued on Aug 11, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jacinto, CA. The record was last updated on Sep 7, 2026.