Individual provider · Type 1 NPI
Jackelin Chavez Rueda
Clinical Social Worker · Lodi, CA
Practice location
1920 Tienda Dr. #101
Lodi, CA 95242
Fax (209) 625-0492
Mailing address
P.o. Box 6779
Stockton, CA 95206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1376962308
Jackelin Chavez Rueda's National Provider Identifier is 1376962308, issued on Apr 7, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lodi, CA. The record was last updated on Nov 22, 2022.