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JACKIE ANN EBBERT
NPI 1033266796
Social Worker - Clinical in San Jose, CA

Active since January 04, 2007
175 BERNAL RD STE 140, SAN JOSE, CA 95119(408) 972-3099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Ann Ebbert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE ANN EBBERT (NPI 1033266796) is an individual clinical provider in San Jose, California, licensed in California (LCS10717) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1033266796
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACKIE ANN EBBERT
Location Address175 BERNAL RD STE 140San Jose, CA 95119-1343
Mailing Address175 Bernal Rd Ste 140San Jose, CA 95119-1343 · (408) 972-3099
Phone(408) 972-3099
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033266796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS10717
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
175 BERNAL RD STE 140, San Jose, CA 95119
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Other Names 1

Other Name (5)Jacki Ann Ebbert

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW CHARLES BERGER PH.D.
Psychologist (Clinical)
175 BERNAL RD STE 140
SAN JOSE, CA 95119
Santa Clara County (408) 972-3202
MR. MICHAEL ANTHONY CURRY LCSW
Social Worker (Clinical)
175 BERNAL RD STE 140
SAN JOSE, CA 95119
Santa Clara County (408) 362-4388
DR. GARY JAMES REZOWALLI PH.D.
Psychologist (Clinical)
175 BERNAL RD STE 140
SAN JOSE, CA 95119
Santa Clara County (408) 972-6454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Ebbert's NPI number?

The NPI number for Jackie Ebbert is 1033266796. It was assigned to this individual provider in the NPPES registry on January 4, 2007. The provider is also known as Jacki Ann Ebbert.

Where is Jackie Ebbert located?

Jackie Ebbert practices at 175 Bernal Rd Ste 140, San Jose, CA 95119. The listed phone number is (408) 972-3099.

What is Jackie Ebbert's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jackie Ebbert was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.