Individual provider · Type 1 NPI

Lydia Madeline Jacques-Montanez, ASW

Clinical Social Worker · Sacramento, CA

NPI number 1679448187 Active

Practice location

2108 N St Ste C
Sacramento, CA 95816-5712

Mailing address

1990 Paseo Gabriela
San Dimas, CA 91773-4409

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X124364 (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 1679448187

Lydia Madeline Jacques-Montanez, ASW's National Provider Identifier is 1679448187, issued on Oct 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Oct 7, 2025.