Individual provider · Type 1 NPI

Jennifer Phoenix Dawn, LCSW

Clinical Social Worker · South Lake Tahoe, CA

NPI number 1760614366 Active

Practice location

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305

Call (530) 573-7970 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X26121 (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 1760614366

Jennifer Phoenix Dawn, LCSW's National Provider Identifier is 1760614366, issued on Aug 14, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Lake Tahoe, CA. The record was last updated on May 31, 2019.