Individual provider · Type 1 NPI

Jennifer Dominguez

Clinical Social Worker · Represa, CA

NPI number 1972931335 Active

Practice location

100 Prison Rd
Represa, CA 95671-0066

Fax (916) 294-3121

Mailing address

PO Box 290066
Represa, CA 95671-0066

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X21676 (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 1972931335

Jennifer Dominguez's National Provider Identifier is 1972931335, issued on Oct 23, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Represa, CA. The record was last updated on Sep 7, 2022.