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JACOB SINGHAVONG
NPI 1073358289
Social Worker - Clinical in San Dimas, CA

Active since June 28, 2024
540 E FOOTHILL BLVD STE 101, SAN DIMAS, CA 91773(626) 779-8583 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Singhavong NPPES

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

JACOB SINGHAVONG (NPI 1073358289) is an individual clinical provider in San Dimas, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1073358289
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB SINGHAVONG
Location Address540 E FOOTHILL BLVD STE 101San Dimas, CA 91773-1251
Mailing Address12142 Central Ave # 177Chino, CA 91710-2420
Phone(626) 779-8583
Sole ProprietorNo
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1073358289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
540 E FOOTHILL BLVD STE 101, San Dimas, CA 91773
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Other Providers at the Same Location NPPES

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

CHRYSTINA LONG PPS, APCC
Counselor (Professional)
540 E FOOTHILL BLVD STE 101
SAN DIMAS, CA 91773
Los Angeles County (626) 779-8583

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 Jacob Singhavong's NPI number?

The NPI number for Jacob Singhavong is 1073358289. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Jacob Singhavong located?

Jacob Singhavong practices at 540 E Foothill Blvd Ste 101, San Dimas, CA 91773. The listed phone number is (626) 779-8583.

What is Jacob Singhavong'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 Jacob Singhavong was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.