Healthcare Provider Details

I. General information

NPI: 1487012803
Provider Name (Legal Business Name): JENNIFER CARROLL SWEET-FARNESS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 02/07/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 8TH ST
BAKERSFIELD CA
93304
US

IV. Provider business mailing address

721 8TH ST
BAKERSFIELD CA
93304-2224
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-9700
  • Fax:
Mailing address:
  • Phone: 661-326-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: