Individual provider · Type 1 NPI

Jessica Marie Requejo, LCSW

Clinical Social Worker · Rancho Cucamonga, CA

NPI number 1740719236 Active

Practice location

9445 Fairway View Pl Ste 100
Rancho Cucamonga, CA 91730-0930

Call (909) 983-2020 Map

Mailing address

34428 Yucaipa Blvd # E178
Yucaipa, CA 92399-2474

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor 101YM0800X84003 (CA)
Clinical Social Worker Primary 1041C0700X105453 (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 1740719236

Jessica Marie Requejo, LCSW's National Provider Identifier is 1740719236, issued on Jun 8, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Nov 23, 2021.