Individual provider · Type 1 NPI

Jamie Penticoff Gonzalez, ASW

Clinical Social Worker · Oakland, CA

NPI number 1336919752 Active

Practice location

7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408

Fax (510) 923-1099

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X120975 (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 1336919752

Jamie Penticoff Gonzalez, ASW's National Provider Identifier is 1336919752, issued on Jan 5, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Dec 10, 2025.