Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob Donnelly, Licensed Clinical Social Worker, Inc

Organization Clinical Social Worker · NPI 1336849546

Jacob Donnelly, Licensed Clinical Social Worker, Inc provides Clinical Social Worker services in Berkeley, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2428 Dwight Way Ste 9
Berkeley, CA 94704-2399
Phone: (510) 982-6836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1336849546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Donnelly — Owner · (510) 982-6836
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 6, 2023
Mailing address2428 Dwight Way Ste 9, Berkeley, CA 94704-2399

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