Jennifer Abouav

Individual provider Active NPI Clinical Social Worker · Palo Alto, CA

NPI 1124423058 · NPPES record last updated Nov 4, 2014

Key facts

NPI
1124423058
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW63524 (CA)
Practice address
744 San Antonio Rd
#28
Palo Alto, CA 94303-4632
Phone
(650) 935-5279
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW63524CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW63524 CA Yes

Addresses

Primary practice location

744 San Antonio Rd
#28
Palo Alto, CA 94303-4632

Mailing address

744 San Antonio Rd
#28
Palo Alto, CA 94303-4632
Phone (650) 935-5279

Other providers in Palo Alto, CA

All providers in Palo Alto, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.