Individual provider · Type 1 NPI

Jean Maire Ertl, LCSW, ACSW

Clinical Social Worker · San Diego, CA

NPI number 1407862436 Active

Practice location

8810 Rio San Diego Dr
San Diego, CA 92108-1622

Call (619) 400-5181 Map

Fax (619) 400-5154

Mailing address

4852 Lila Dr
San Diego, CA 92115-1910

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS13029 (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 1407862436

Jean Maire Ertl, LCSW, ACSW's National Provider Identifier is 1407862436, issued on Jul 31, 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 Jul 8, 2007.