Individual provider · Type 1 NPI

Jendayi Aisha Ford, MSW, LCSW

Clinical Social Worker · Vallejo, CA

NPI number 1710184262 Active

Practice location

236 Georgia St, Suite 200 B
Vallejo, CA 94590-5991

Call (510) 517-2290 Map

Mailing address

1114 Oregon St
Berkeley, CA 94702-2220

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27913 (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 1710184262

Jendayi Aisha Ford, MSW, LCSW's National Provider Identifier is 1710184262, issued on Jun 28, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vallejo, CA. The record was last updated on Aug 14, 2014.