MS. JEANETTE CHURCHILL-MATILLO LCSW
NPI 1194923003
Social Worker - Clinical in Dana Point, CA

Active since July 03, 2007
24726 MERIDIAN DR, DANA POINT, CA 92629(949) 248-5599(949) 248-5560 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jeanette Churchill-matillo Lcsw NPPES

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

MS. JEANETTE CHURCHILL-MATILLO LCSW (NPI 1194923003) is an individual clinical provider in Dana Point, California, licensed in California (LCS8967) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1194923003
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JEANETTE CHURCHILL-MATILLOCredential: LCSW
Location Address24726 MERIDIAN DRDana Point, CA 92629-1819
Mailing Address24726 Meridian DrDana Point, CA 92629-1819 · (949) 248-5599 · Fax (949) 248-5560
Fax(949) 248-5560
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateJanuary 11, 2011
NPI 1194923003 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 · LCS8967
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.
24726 MERIDIAN DR, Dana Point, CA 92629

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 Jeanette Churchill-matillo's NPI number?

The NPI number for Jeanette Churchill-matillo is 1194923003. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Jeanette Churchill-matillo located?

Jeanette Churchill-matillo practices at 24726 Meridian Dr, Dana Point, CA 92629. The listed phone number is (949) 248-5599.

What is Jeanette Churchill-matillo'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 Jeanette Churchill-matillo was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.