Individual provider · Type 1 NPI

Blue Phoenix Jauregui

Clinical Social Worker · Marina, CA

NPI number 1346046232 Active

Practice location

3116 Lake Dr Apt 20
Marina, CA 93933-2834

Call (510) 882-4728 Map

Other practice locations

  • 3116 Lake Dr Apt 20, Marina, CA 93933-2834 · (510) 882-4728

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW119809 (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 1346046232

Blue Phoenix Jauregui's National Provider Identifier is 1346046232, issued on Feb 20, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marina, CA. The record was last updated on Feb 20, 2025.