Individual provider · Type 1 NPI
Jezreel Martin Supetran
Clinical Social Worker · Simi Valley, CA
Practice location
1750 Heywood St Unit B
Simi Valley, CA 93065-6552
Mailing address
1000 S Fremont Ave Unit 34
Alhambra, CA 91803-8867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 61376 (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 1629301213
Jezreel Martin Supetran's National Provider Identifier is 1629301213, issued on Sep 14, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Simi Valley, CA. The record was last updated on Mar 16, 2026.