Individual provider · Type 1 NPI

Eric Jimenez

Clinical Social Worker · San Luis Obispo, CA

NPI number 1639625221 Active

Practice location

Colony Dr
San Luis Obispo, CA 93405-8101

Mailing address

105 Glencrest Ln
Paso Robles, CA 93446-1145

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X105644 (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 1639625221

Eric Jimenez's National Provider Identifier is 1639625221, issued on Sep 1, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jan 16, 2026.