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General NPI Number Information
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NPI Number | 1255466884
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Entity Type | Individual
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Provider Name | JENNIFER RENEE CARDENAS MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 21 ORINDA WAY STE C-147
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City | ORINDA
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State | CA
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Zip | 94563-2530
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Country | US
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Telephone | 510-655-2678
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Fax |
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Provider Business Mailing Address
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Address Line | 360 GRAND AVE #64
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City | OAKLAND
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State | CA
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Zip | 94610-4840
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Country | US
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Telephone | 510-655-2678
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24323
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License Number State | CA
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