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JENNY KWAK LCSW
NPI 1366298168
Counselor - Mental Health in Stanford, CA

Active since April 24, 2024
300 PASTEUR DR RM HC 029, STANFORD, CA 94305(650) 391-3754 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Kwak Lcsw NPPES

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

JENNY KWAK LCSW (NPI 1366298168) is an individual mental health provider in Stanford, California, licensed in California (LCS19242) and active in the NPI registry since April 2024. She maintains a secondary practice location in San Bruno.

NPPES Registry Identity

NPI1366298168
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNY KWAKCredential: LCSW
Location Address300 PASTEUR DR RM HC 029Stanford, CA 94305-2200
Mailing Address300 Pasteur Dr Rm Hc 029Stanford, CA 94305-2200 · (650) 391-3754
Phone(650) 391-3754
Sole ProprietorYes
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1366298168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LCS19242
300 PASTEUR DR RM HC 029, Stanford, CA 94305
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Secondary Practice Location 1

Location 12479 Trenton DrSan Bruno, CA 94066-2822 · Phone (650) 303-3851

Other Providers at the Same Location NPPES 2

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

MELISSA CALNON LCSW
Social Worker
300 PASTEUR DR RM HC 029
STANFORD, CA 94305
Santa Clara County (650) 723-5091
MORGAN GROSS
Social Worker (Clinical)
300 PASTEUR DR RM HC 029
STANFORD, CA 94305
Santa Clara County (312) 933-8106

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 Jenny Kwak's NPI number?

The NPI number for Jenny Kwak is 1366298168. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Jenny Kwak located?

Jenny Kwak practices at 300 Pasteur Dr Rm Hc 029, Stanford, CA 94305. The listed phone number is (650) 391-3754.

What is Jenny Kwak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jenny Kwak was last updated on April 24, 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.