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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB DONNELLY, LICENSED CLINICAL SOCIAL WORKER, INC.

Active Organization

JACOB DONNELLY, LICENSED CLINICAL SOCIAL WORKER, INC. is a Clinical Social Worker organization located in BERKELEY, California. NPI 1336849546 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BERKELEY, CA

Registration Details

NPI Number
1336849546
Provider Type
Organization
NPI Issued
Mar 7, 2023 (3.4196424214405 yrs)
Last Updated
Mar 7, 2023

Practice Information

Address
2428 DWIGHT WAY STE 9
BERKELEY, CA, 947042399
Browse CA providers · Browse ZIP 94704
Phone
5109826836
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.