Individual provider · Type 1 NPI
Jessica E. Keyoumarsi
Clinical Social Worker · Irvine, CA
Practice location
17 Thornwood
Irvine, CA 92604-3227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 100226 (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 1710410451
Jessica E. Keyoumarsi's National Provider Identifier is 1710410451, issued on Apr 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Irvine, CA. The record was last updated on May 30, 2026.