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General NPI Number Information
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NPI Number | 1952100497
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Entity Type | Individual
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Provider Name | JENNIFER LEE MCGINLEY ACSW123966
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Gender | Female
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 4299 MACARTHUR BLVD STE 200
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2095
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Country | US
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Telephone | 949-480-7767
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Fax |
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Provider Business Mailing Address
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Address Line | 32932 PACIFIC COAST HWY STE. 14 PO BOX #438
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City | DANA POINT
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State | CA
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Zip | 92629-3467
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Country | US
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Telephone | 949-229-0174
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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 | ACSW123966
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License Number State | CA
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