Individual provider · Type 1 NPI
Jenny Phung
Clinical Social Worker · Santa Rosa, CA
Practice location
2225 Challenger Way
Santa Rosa, CA 95407-5441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 85539 (CA) |
| Clinical Social Worker Primary | 1041C0700X | 117713 (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 1730798273
Jenny Phung's National Provider Identifier is 1730798273, issued on Jul 30, 2020. 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 Nov 17, 2023.