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NPI Code Detail

MEDICARE: JENNA KONNO LCSW

MEDICARE: JENNA KONNO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW88691CA

General Provider Information

NPI Number : 1245462126
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA KONNO LCSW
Provider Business Mailing Address
First Line : 1889 LAWRENCE RD
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-2166
Country : US
Telephone Number : 408-423-2846
Fax Number :
Provider Business Practice Location Address
First Line : 1889 LAWRENCE RD
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-2166
Country : US
Telephone Number : 408-423-2846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2009
Last Update Date : 05/28/2025

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Directions to “ JENNA KONNO LCSW” Practice Location

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