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JACQUELINE DAPHNEE SURPIN
NPI 1164908554
Social Worker - Clinical in Santa Clara, CA

Active since July 18, 2018
5201 GREAT AMERICA PKWY, SANTA CLARA, CA 95054(323) 205-7088 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2022, Feb 23, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Jacqueline Daphnee Surpin NPPES

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

JACQUELINE DAPHNEE SURPIN (NPI 1164908554) is an individual clinical provider in Santa Clara, California, licensed in California (126551) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1164908554
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE DAPHNEE SURPIN
Location Address5201 GREAT AMERICA PKWYSanta Clara, CA 95054-1122
Mailing Address730 Medical Center CtChula Vista, CA 91911-6618 · (619) 863-5866
Phone(323) 205-7088
Sole ProprietorNo
Enumeration DateJuly 18, 2018
Last NPPES UpdateJanuary 29, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1164908554 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 CA · 126551
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 ListedSocial WorkerTaxonomy 104100000X
5201 GREAT AMERICA PKWY, Santa Clara, CA 95054
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Other Providers at the Same Location NPPES 20

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

PAMELA THOMPSON LPC
Counselor (Professional)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (831) 431-0647
EMILY DELAPLAIN LCSW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MS. JEANETTE VEGA LCSW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
AGATHOS LABORATORIES, INC.
Clinical Medical Laboratory
5201 GREAT AMERICA PKWY, SUITE 320
SANTA CLARA, CA 95054
Santa Clara County (408) 730-6819
MR. JAMES WHA PARK LCSW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (833) 419-0181
COURTNEY FRANCHESKA BOSTON PHD
Psychologist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
CHRISTIAN PORTO ASW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
SARAH SCHORR
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088

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 Jacqueline Surpin's NPI number?

The NPI number for Jacqueline Surpin is 1164908554. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Jacqueline Surpin located?

Jacqueline Surpin practices at 5201 Great America Pkwy, Santa Clara, CA 95054. The listed phone number is (323) 205-7088.

What is Jacqueline Surpin'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 Jacqueline Surpin was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.