Individual provider · Type 1 NPI

Fary Jalili

Clinical Social Worker · Santa Rosa, CA

NPI number 1679926091 Active

Practice location

4635 Thomas Lake Harris Dr Unit 318
Santa Rosa, CA 95403-0195

Call (917) 574-1933 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X118956 (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 1679926091

Fary Jalili's National Provider Identifier is 1679926091, issued on Jul 20, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 31, 2024.