Healthcare Provider Details

I. General information

NPI: 1962659706
Provider Name (Legal Business Name): CINDY CHERE'E JENSEN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS CINDY CHERE'E LONGELY

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 08/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 LOMA VISTA RD BUILDING 340, SUITE 301
VENTURA CA
93003-3099
US

IV. Provider business mailing address

325 DAYLOMA AVE
VENTURA CA
93003-2009
US

V. Phone/Fax

Practice location:
  • Phone: 805-652-6138
  • Fax: 805-652-6136
Mailing address:
  • Phone: 805-765-4701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW61935
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: