Individual provider · Type 1 NPI

Jeremy Lee Mace, LCSW

Clinical Social Worker · Susanville, CA

NPI number 1750719480 Active

Practice location

475-750 Rice Canyon Road
Susanville, CA 96127

Call (530) 251-5100 Map

Mailing address

5700 Dowdell Ave Unit 143
Rohnert Park, CA 94928-4124

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	129074-121 (WI)
Clinical Social Worker Primary	1041C0700X	LCSW74014 (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 1750719480

Jeremy Lee Mace, LCSW's National Provider Identifier is 1750719480, issued on Oct 15, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Susanville, CA. The record was last updated on Aug 31, 2023.