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CODY JEAN LCSW
NPI 1043896202
Social Worker - Clinical in Tracy, CA

Active since March 18, 2021
2655 HENLEY PKWY UNIT 7722, TRACY, CA 95377(678) 789-6109 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2021, Mar 18, 2021 (2 updates tracked since 2021).

About Cody Jean Lcsw NPPES

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

CODY JEAN LCSW (NPI 1043896202) is an individual clinical provider in Tracy, California, licensed in Georgia (CSW007304) and active in the NPI registry since March 2021. She maintains a secondary practice location in Rossville.

NPPES Registry Identity

NPI1043896202
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCODY JEANCredential: LCSW
Location Address2655 HENLEY PKWY UNIT 7722Tracy, CA 95377-2238
Mailing Address2455 Naglee Rd # 110Tracy, CA 95304-7324 · (678) 789-6109
Phone(678) 789-6109
Sole ProprietorYes
Enumeration DateMarch 18, 2021
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1043896202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW007304
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CSW007304 (GA)
2655 HENLEY PKWY UNIT 7722, Tracy, CA 95377
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Secondary Practice Location 1

Location 11425 McFarland AveRossville, GA 30741-2215 · Phone (800) 275-3243

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 Cody Jean's NPI number?

The NPI number for Cody Jean is 1043896202. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Cody Jean located?

Cody Jean practices at 2655 Henley Pkwy Unit 7722, Tracy, CA 95377. The listed phone number is (678) 789-6109.

What is Cody Jean'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 Cody Jean was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.