JENNIFER MARIE DESANTIS ACSW NPI 1790205714

NPI Information

NPI: 1790205714
Provider Name: JENNIFER MARIE DESANTIS, ACSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
805 E WARDLOW RIAD
LONG BEACH, CA
ZIP 90807
Phone: (949) 903-5589
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Jennifer Marie Desantis, ACSW is a mental health counselor in Long Beach, CA. Jennifer Marie Desantis, ACSW NPI is 1790205714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 E WARDLOW RIAD
LONG BEACH, CA
ZIP 90807
Phone: (949) 903-5589

The enumeration date for this NPI number is 6/21/2017 and was last updated on 8/23/2021.

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
1	101YM0800X	Counselor	Mental Health	ASW88466	CALIFORNIA	Yes
2	1041C0700X	Social Worker	Clinical	88466	CALIFORNIA	No

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: 4/28/2024

NPI Synchronization or Removal

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