Individual provider · Type 1 NPI
Jennifer Denise Prudencio
Clinical Social Worker · Anaheim, CA
Practice location
356 S Claudina St
Anaheim, CA 92805-3915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 126607 (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 1417540675
Jennifer Denise Prudencio's National Provider Identifier is 1417540675, issued on Feb 18, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Anaheim, CA. The record was last updated on Sep 24, 2025.