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JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS INC NPI 1124539333


NPI Information

NPI: 1124539333
Provider Name: JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC

Doing Business As: JEG THERAPY, INC

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2659 TOWNSGATE RD STE 226
WESTLAKE VILLAGE, CA
ZIP 91361
Phone: (818) 521-3867
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JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC is a clinical social worker in Westlake Village, CA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC NPI is 1124539333. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jeg Therapy, Inc.

The provider's business location address is:

2659 TOWNSGATE RD STE 226
WESTLAKE VILLAGE, CA
ZIP 91361-755
Phone: (818) 521-3867

The provider's authorized official is Jason Gillard .
The authorized official title is President / Clinician and has the following contact phone number (818) 521-3867.

The enumeration date for this NPI number is 10/14/2017 and was last updated on 2/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical25769CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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