=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669326831
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JENNIFER M. SENEOR, LICENSED CLINICAL SOCIAL WORKER, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2026
-----------------------------------------------------
Last Update Date | 02/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4122 ARBOR VITAE DR
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92105-4502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-764-7484
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3245 UNIVERSITY AVE # 1333
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92104-2009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-764-7484
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOTHERAPIST AND OWNER
-----------------------------------------------------
Name | JENNIFER SENEOR
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 951-764-7484
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------