Individual provider · Type 1 NPI

Jetta Meadows, ASW

Clinical Social Worker · Lakeport, CA

NPI number 1497157218 Active

Practice location

149 N Main St, Suite # 210
Lakeport, CA 95453-4832

Call (707) 262-0400 Map

Mailing address

4520 High Ct
Kelseyville, CA 95451-9347

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1497157218

Jetta Meadows, ASW's National Provider Identifier is 1497157218, issued on Sep 24, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakeport, CA. The record was last updated on Sep 24, 2014.