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Jennifer Lisa Madrid
Social Worker in Petaluma, California
NPI 1578912481

Jennifer Lisa Madrid is a Social Worker based in Petaluma, CA. Jennifer Lisa Madrid practices in Petaluma, CA. The NPI Number for Jennifer Lisa Madrid is 1578912481 and holds a License No. PT34767 (California).

The current practice location address for Jennifer Lisa Madrid is 2032 Appaloosa Dr, Petaluma, CA and can be reached out via phone at 707-322-2018.

Location: 2032 Appaloosa Dr, Petaluma, CA, 94954-4639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578912481
Provider Name
Jennifer Lisa Madrid
Credential
Provider Entity Type
Individual
Gender
Female
Address
2032 Appaloosa Dr, Petaluma, CA, 94954-4639
Phone Number
707-322-2018
Fax Number
Provider Enumeration Date
06/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2032 Appaloosa Dr
City
Petaluma
State
California
Zip
94954-4639
Phone Number
707-322-2018
Fax Number
person
Provider Business Mailing Address Details
Address
2032 Appaloosa Dr
City
Petaluma
State
California
Zip
94954-4639
Phone Number
707-322-2018
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
109962 (California)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
167G00000X
License No.
PT34767 (California)
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
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